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 for a call center role. The position involves handling both inbound and outbound calls, determining pharmacy eligibility, maintaining records, and providing exceptional customer service in a high-paced environment.

Key Responsibilities

• Determine pharmacy eligibility by reviewing, researching, and analyzing information in the appropriate system.
• Maintain and enter member/prescription information into systems and forward records as needed.
• Record and respond to calls/emails/faxes from members, providers, and pharmacies.
• Answer specific Pharmacy Plan Benefit and sharing guideline questions.
• Provide exceptional customer service for incoming/outgoing calls.
• Ensure the confidentiality of all calls and documents in line with HIPAA/PHI guidelines.
• Use critical thinking and reasoning to resolve conflicts and manage workloads efficiently.

Qualifications

• High school diploma or GED or transcripts required.
• 2+ years Pharmacy or PBM call center experience required.
• Knowledge of medical/pharmaceutical terminology/benefits.
• Comfortable working both inbound and outbound phone queues.
• Pharmacy Tech Trainee or certified Pharmacy Technician is preferred.
• Bilingual English/Spanish is preferred.

Skills

• Strong communication skills.
• Ability to work effectively in a team environment.

Additional Requirements

• Training for the first 1-2 months will be from Monday to Friday, 7am-4pm.
• Post training, the agent will have an 8-hour shift (+1 hour lunch) between 5am-6pm, with a set schedule determined during training.
• Rotating Saturday work comes out to 1 Saturday every 6-8 weeks; Saturday hours are 7am-12pm, considered as overtime.

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. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national

^*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.

^*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