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 Member Service Representative to provide exceptional support to pharmacies, clients, and patients. This role involves handling inquiries, providing clinical call support for prior authorizations, and ensuring a seamless service experience across various communication platforms such as phone, email, chat, and other digital channels.

Key Responsibilities

• Receives calls from pharmacies, clients, and patients and provides the requested information or support
• Provides clinical call support for prior authorization-related calls and documents in the ticketing system
• Understanding of benefit plans and how to access the plan information, as well as how to communicate this information to patients accurately
• Escalates incoming calls when needed to the appropriate party for resolution
• Demonstrate OMNI channel experience across multiple communication platforms, including phone, email, chat, and other digital channels, ensuring a seamless and consistent service experience.

Qualifications

• Excellent communication skills
• Excellent customer service skills to maintain a high standard of patient service
• Adaptable and able to work well in a fast-paced environment, multitasking while keeping focus on the customer

Experience

• Experience providing excellent customer service, preferably in a call center, pharmacy or healthcare setting
• Pharmacy, PBM or Healthcare experience (preferred)
• High volume call center experience, servicing patients or members with healthcare needs (preferred)

Skills

• Proficient in MS Office Suites – Outlook, Excel, Word, and Teams

Education

• High School Diploma or GED required
• A current Pharmacy technician license or certification, in good standing (preferred)
• Bachelor’s Degree in a related field (preferred)

Additional Requirements

• Flexibility to work different shifts (including evenings, weekends, or holidays)
• Schedule: 11am-7:00pm with some rotating weekend coverage.

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 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