Customer Service Representative

Company: The CSI Companies
Location: San Antonio
Posted on: January 14, 2021

Job Description:

The CSI Companies is currently seeking a Customer Service Representative for a long-term contract position with one of our clients in San Antonio, Texas.This position has the full time hours of Monday-Friday, 9am-6pm.This position pays a competitive hourly rate.Job SummaryThe customer service representative will make outbound calls to members and physicians to improve medication adherence and other pharmacy related quality metrics. Responsible for gathering prescription refill orders and providing excellent customer service as well as determining the eligibility of members applying for the Medical Assistance Program.Essential Job Functions1. Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed.2. May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary.3. Follows system scripting and validates member demographic information.4. Documents the provider or member's record with accurate information obtained on the call.5. Provides support to internal staff, subcontractors, and providers with respect to Medicare drug related issues.6. Participates in and contributes to the overall pharmacy quality improvement initiatives.7. Collects and maintains eligibility information in an appropriate and confidential manner.8. Enters all assigned applications within a specified time frame to ensure eligibility deadlines are met accordingly.9. Exhibits excellent phone and communication skills while providing complete and accurate information to members.10. Requests additional or supplemental information via correspondence to complete applications.11. Adheres to assigned schedule and quality metrics.12. Uses a multi-lined telephonic system to answer calls regarding eligibility requirements and medication refill orders.13. Performs all other related duties as assigned.Minimum Required Education, Experience & SkillsMinimum of High School Diploma or GEDMinimum of two years' experience in a pharmacy settingWorking knowledge of HIPAA Privacy and Security Rules and CMS security requirementsGeneral writing skills and ability to produce work free from typographical or spelling errors.Working knowledge of Microsoft Office (excel), Internet and e-mailMedical terminology knowledge basePreferred Education, Experience & Skills-- Bilingual-- PBM experience-- Previous auditing experience-- Advanced knowledge of NCPDP and other types of prescription drug claims is required-- Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies Previous retail pharmacy experience-- Previous Call Center experienceOur client is seeking candidates that can interview and get started immediately. All candidates must complete and pass a Background check, drug screening, and other health screenings if required.Because The CSI Companies is a cut above the typical staffing firm, we understand that an attractive benefits package is an important aspect of recruiting above-average W-2 contractors to serve our clients. Our benefits package includes weekly pay, direct deposit availability, multiple healthcare plans to include vision, dental, disability options, 401K and holiday and paid time off.If you are a hardworking professional who is knowledgeable in healthcare and computers, and has great customer service and communication skills, Apply Now!!

Keywords: The CSI Companies, San Antonio , Customer Service Representative, Other , San Antonio, Texas