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 Member Service Representative responsible for providing exceptional customer service. The role involves managing calls from pharmacies, clients, and patients, and delivering the support and information they require. The position emphasizes a seamless service experience across multiple communication channels.

Qualifications

• High School Diploma or GED required.
• Experience in a call center/high volume call environment specifically in insurance, pharmacy, or healthcare setting.
• Experience with benefit navigation.
• Proficient in MS Office Suites: Outlook, Excel, Word, and Teams.
• Flexibility to work different shifts, including evenings, weekends, or holidays.
• A current Pharmacy technician license or certification preferred.
• Experience in pharmacy, PBM, or insurance sectors preferred.

Schedule/Shift

11am-7:00pm with some rotating weekend coverage.

Key Responsibilities

• Receive calls from pharmacies, clients, and patients and provide requested information or support.
• Provide clinical call support for prior authorization-related inquiries and document these in the ticketing system.
• Understand benefit plans and appropriately communicate this information to patients.
• Escalate calls to the appropriate party for resolution when needed.
• Demonstrate proficiency across multiple communication platforms to ensure consistent service experiences.

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.

We are an equal opportunity employer and value diversity. All employment is decided on the basis of qualifications, merit, and business need.

^*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.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*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