Job Summary Required Qualifications and Skills
We are seeking a motivated Pharmacy CSR to join a remote customer support team serving customers, pharmacies, and healthcare providers with prescription benefit and pharmacy service needs. This full-time, direct hire opportunity is ideal for a customer-focused professional who enjoys helping people, solving problems, and working in a fast-paced healthcare call center environment.
As a Pharmacy Customer Service Representative, you will provide inbound support related to prescription benefits, home delivery medications, billing, eligibility, coverage, claims, and pharmacy-related inquiries. This role offers paid training, supportive leadership, coaching, career growth opportunities, and a team-oriented culture focused on delivering excellent customer care.
Key Responsibilities
- Answer inbound customer service calls from members, pharmacies, and healthcare providers regarding pharmacy benefits and healthcare services.
- Assist with prescription coverage, home delivery medications, billing questions, eligibility, claims, authorizations, and payment-related concerns.
- Research and resolve customer issues while focusing on accuracy, empathy, professionalism, and first-call resolution.
- Document customer interactions thoroughly and maintain accurate records of inquiries, actions taken, and resolutions.
- Make follow-up calls as needed to ensure customer concerns are fully addressed.
- Meet quality, attendance, productivity, and customer satisfaction goals in a remote call center environment.
Compensation and Benefits
- Pay rate: $15.00 per hour.
- Salary range: $14.00 to $15.00 per hour.
- Job type: Direct hire, full-time.
- Work arrangement: Remote, work from home.
- Hours of operation: Monday through Sunday, 6:00am to 10:00pm CST.
- Schedule: Assigned during hours of operation, with Saturday and Sunday required and two weekdays off.
- Paid training.
- Medical, dental, and vision benefits.
- 401(k) retirement plan.
- Paid time off.
- Recognition and incentive programs.
- Referral bonus opportunities.
- Employee discount programs.
- Career growth opportunities.
- Provide inbound pharmacy customer service support for prescription benefits, billing, claims, and coverage inquiries.
- Research and resolve medication delivery, authorization, eligibility, and payment-related issues.
- Accurately document customer interactions and support first-call resolution goals.
- Maintain quality, productivity, attendance, and customer satisfaction standards.
- Must be 18 years of age or older.
- High school diploma, GED, or equivalent required.
- Minimum of 1 year of customer service experience required.
- Strong communication, active listening, and customer service skills.
- Strong problem-solving and critical-thinking abilities.
- Comfortable using computers and learning multiple systems and applications.
- Basic Microsoft Word and Excel skills.
- Ability to multitask in a fast-paced call center environment.
- Ability to attend and successfully complete all required training.
- Flexibility to work evenings, weekends, holidays, and occasional overtime based on business needs.
- Ability to handle sensitive customer information with professionalism and confidentiality.
Preferred Qualifications
- Previous call center experience.
- Healthcare, pharmacy, insurance, or medical office experience.
- Familiarity with medical terminology, healthcare benefits, prescription benefits, or pharmacy services.
- Experience working in a customer-focused healthcare environment.
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.