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 dedicated Support Representative to serve as frontline support for patients, caregivers, pharmacies, and physician offices. This role involves managing a high volume of inbound calls to assist with prescription costs and access programs, ensuring eligible patients receive necessary financial assistance, and support.

Key Responsibilities

• Handle approximately 50–60 inbound calls per day with an average talk time of 6–7 minutes.
• Act as frontline support for patients, caregivers, pharmacies, and physician offices regarding prescription costs and access programs.
• Screen patients for eligibility and enroll them in manufacturer copay cards and financial assistance programs.
• Answer inquiries regarding copay card balances, annual maximums, expirations, and activations.
• Contact payers and PBMs to obtain benefit details, patient responsibility, and deductible/coinsurance amounts.
• Research and troubleshoot common pharmacy claim rejections (e.g., refill-too-soon, coordination of benefits).
• Track and coordinate status updates on pending Prior Authorizations (administrative support only; no clinical determinations).
• Chronologically document all interactions and claim activities in the CRM/case management system under HIPAA compliance.

Qualifications

• 1+ year healthcare experience.
• Solid understanding of basic healthcare/insurance concepts (copays, deductibles, coinsurance, OOP maximums, PBMs).
• Strong phone handling / customer service skills.
• Desire to be in a call center role.

Experience

• 1+ year in healthcare.
• 1–2 years in a pharmacy billing contact center, retail pharmacy, or medical front office is preferred.
• Health plan customer service / member services experience is preferred.

Skills

• Solid understanding of basic healthcare/insurance concepts (copays, deductibles, coinsurance, OOP maximums, PBMs).
• Strong phone handling / customer service skills.
• Bilingual (Spanish/English) is preferred.

Education

• High school diploma/GED.
• Licensed/Registered Pharmacy Technician (CPhT / PTCB) is preferred.

Additional Requirements

• Must be flexible to work any shift between 8 AM and 8 PM; initial shift options are 8 AM, 10 AM, and 11:30 AM start times (later shifts are more likely).
• Training is 4 weeks, with the first week in a classroom style (9 AM-5 PM) and the second week involving mock calls.
• Primarily Monday-Friday schedule, with some Saturday coverage as needed.

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, 2 (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 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