Member Service Specialist

Job Title: Member Services Specialist

Hours of Operation: 7:00am – 9:00pm Monday through Friday, with occasional shifts on Saturdays

Member Services Specialist Overview: The Member Services Specialist is responsible for interacting with members by providing support and assistance with order processing and general account benefit inquiries.

Responsibilities:

• Receive incoming calls or emails from members, pharmacies, doctor’s offices about requests for information on medication and benefits
• Investigate and resolve member inquiries in a timely manner or escalate to appropriate team member
• Adhere to and reinforce Prime and departmental standard operating procedures and training guidelines specific to HIPAA
• Other duties as assigned

Required Minimum Qualifications:

• High School Diploma from an accredited school or equivalent GED
• 1 year of customer service experience

Additional Qualifications:

• Strong PC Skills with ability to navigate multiple software systems simultaneously
• Strong communication skills with focus on professional demeanor and empathy
• Ability to multitask
• Detail oriented

Preferred Qualifications:

• Contact Center experience
• Some college coursework
• CPhT certification
• Fluency in another language (Spanish)
• Pharmacy Benefit Management or other Healthcare experience

Job Type: Contract

Salary: $15.00 /hour

Experience:

• Call Center: 2 years (Required)
• customer service: 1 year (Required)

Education:

• High school or equivalent (Required)

License or certification:

• CPhT Certification (Required)