Are you a customer service professional with a passion for delivering exceptional experiences to healthcare members? Do you have a knack for navigating complex pharmacy benefit programs and a flair for communicating effectively with diverse stakeholders? If so, we invite you to join our dynamic team at blithequark as a Customer Service Representative, Pharmacy Services (Remote) (Bilingual).Aboutblithequarkblithequark is a leading healthcare organization dedicated to providing innovative solutions that improve the lives of our members. Our Pharmacy Services team plays a critical role in ensuring that our members have access to the medications they need, while also promoting cost-effective and safe use of prescription drugs. As a Customer Service Representative, you will be part of a collaborative and supportive team that is passionate about delivering exceptional customer experiences.Job SummaryAs a Customer Service Representative, Pharmacy Services (Remote) (Bilingual), you will be responsible for handling inbound and outbound calls from members, providers, pharmacists, pharmacies, and technicians. You will work closely with our internal departments to resolve member inquiries, schedule appointments, and provide general information about Medicare and Medicaid plan benefits. Your excellent communication skills, attention to detail, and ability to work independently will make you an invaluable asset to our team.Key Responsibilities* Handle and record inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.* Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians, and pharmacists.* Provide clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.* Follow policies and procedures for appropriate call resolution or transfer to internal departments as required.* Utilize appropriate resources to ensure members' contact information is current and up-to-date.* Effectively communicate general Medicare and Medicaid plan benefits to existing members.* Interact with primary care providers to ensure patient registry is current and accurate.* Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.* Proactively identify ways to improve member relations.Essential Qualifications* High School Diploma or equivalency* 1-3 years of call center or customer service experience* Excellent customer service skills* Ability to work independently when assigned special projects* Strong verbal and written skills and excellent phone etiquette* Ability to multi-task applications while speaking with members* Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook)Preferred Qualifications* Associate's Degree* 3-5 years of experience in the healthcare industry* Bilingual: Spanish, Mandarin, Korean, Yue Chinese, VietnameseSkillsand Competencies* Excellent communication and interpersonal skills* Ability to work in a fast-paced environment with multiple priorities* Strong problem-solving and analytical skills* Ability to maintain confidentiality and handle sensitive information* Proficient in using technology, including Microsoft Office and CRM systems* Strong attention to detail and organizational skillsCareer Growth Opportunities and Learning BenefitsAt blithequark, we are committed to helping our employees grow and develop their careers. As a Customer Service Representative, Pharmacy Services (Remote) (Bilingual), you will have opportunities to:* Develop your skills and knowledge in pharmacy benefit programs and customer service* Work with a diverse team of professionals who are passionate about delivering exceptional customer experiences* Participate in ongoing training and development programs to enhance your skills and knowledge* Take on new challenges and responsibilities as you grow and develop in your roleWork Environment and Company Cultureblithequark is a remote-friendly organization that values flexibility and work-life balance. Our team is passionate about delivering exceptional customer experiences and is committed to making a positive impact in the lives of our members. We offer a collaborative and supportive work environment that is perfect for professionals who are looking for a dynamic and challenging role.Compensation, Perks, and Benefitsblithequark offers a competitive benefits and compensation package that includes:* Competitive salary and bonus structure* Comprehensive health insurance package* 401(k) retirement plan with company match* Paid time off and holidays* Professional development opportunities* Flexible work arrangements and remote work optionsHow to ApplyIf you are a customer service professional with a passion for delivering exceptional experiences to healthcare members, we invite you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter that highlights your experience and qualifications.Equal Opportunity Employerblithequark is an Equal Opportunity Employer (EOE) and welcomes applications from diverse candidates. We are committed to creating an inclusive and supportive work environment that values diversity and promotes equal opportunities for all employees.!Don't miss this opportunity to join our dynamic team at blithequark. to become a Customer Service Representative, Pharmacy Services (Remote) (Bilingual) and start delivering exceptional customer experiences to our members.Apply for this job