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