You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Customer Service Advocate to join our team with a primary focus on providing exceptional customer service. This role offers the opportunity to work in two key areas: Call Center and Advocacy, with responsibilities spanning across both roles. You will determine pharmacy eligibility, manage communications, and maintain confidential information.

Key Responsibilities

• Determine pharmacy eligibility by reviewing, researching, and analyzing information in the appropriate system.
• Record and respond to calls/emails/faxes from members, providers, and pharmacies.
• Provide exceptional customer service for both incoming and outgoing calls.
• Maintain HIPAA/PHI guidelines to ensure confidentiality.
• Escalate complex issues to appropriate parties.
• Deliver timely and thorough responses to customers.
• Call Center: Manage 30-50 calls per day, primarily inbound calls.
• Advocacy: Handle a task queue with primarily outbound calls, ensuring patients receive medication at optimal prices.

Qualifications

• High school diploma or GED.
• 2+ years of experience in a pharmacy or PBM call center.
• Knowledge of medical and pharmaceutical terminology/benefits.
• Pharmacy Tech Trainee or certified Pharmacy Technician (preferred).
• Bilingual in English/Spanish (preferred).

Additional Requirements

• Ability to work across hybrid shifts, with detailed attention to privacy regulations while working from home.
• Must have a private and HIPAA-compliant work environment for remote days.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is an Equal Opportunity Employer. Candidates are encouraged to submit their application, regardless of background or access needs.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients