Healthcare Customer Service Representative

Amerit Consulting is seeking a Healthcare Customer Service Representative for a major Pharmacy Benefit Services entity. The role involves interacting with customers to provide information, resolve complaints, and maintain records of customer interactions.

Responsibilities:

• The main function of a Healthcare Customer Service Representative is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical Customer Service Specialist is responsible for determining the client’s issue, offering possible solutions, or providing follow-up as needed. Customer service agents may be inbound, outbound, or a combination of both
• Resolve customers’ service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills
• Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments
• Refer unresolved customer grievances to designated departments for further investigation
• Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken

Requirements:

• Education: High school diploma or GED
• 0-2 years customer service-related experience required
• Candidates must have customer service experience, particularly in high call volume environments
• Previous experience with computer applications, such as MS Outlook or data entry software
• Ability to accurately document and record customer/client information
• Proficiency in computer software navigation and dual screens is essential
• The ability to handle complex calls, demonstrate critical thinking, and problem-solving skills is crucial
• Strong communication skills are a must
• A pharmacy background is preferred but not mandatory