PharmaCentra · 19 hours ago
Clinical Service Representative - FULLY REMOTE
United States
Full-time
Remote
Entry, Mid Level
2+ years expPharmaCentra LLC is a leading provider of customizable contact center solutions in the healthcare industry, seeking a Clinical Service Representative for their fully remote team. The role involves managing clinical tasks related to communication with clients, assisting members with prescription benefits, and resolving issues within the claims processing system.
ConsultingHealth CarePharmaceuticalQuality AssuranceRisk Management
Responsibilities
Answer phone calls, emails, and faxes from members, clients, pharmacies, and physicians
Assist Member Care Representatives with clinical calls
Troubleshoot and resolve claim processing issues in the claims adjudication system
Communicate problems and concerns to management
Document relevant claims and prior authorization information in the system
Perform additional duties as assigned
Qualification
Required
2-year college degree in a related field preferred
Two years of applicable experience preferred
Knowledge of claims processing
Strong analytical and problem-solving abilities
Excellent communication and customer service skills
Attention to detail
Ability to multitask in a dynamic environment
Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook)
Windows 10/11 PC (Intel i5/AMD Ryzen 5+, 8 GB RAM, 256 GB SSD), webcam, noise-canceling headset (no Mac or Chromebooks)
Preferred
Pharmacy experience is a plus
Benefits
Competitive pay and growth opportunities.
Fully remote with flexible scheduling.
DailyPay for daily wage access.
Comprehensive benefits (medical, dental, vision, disability, life insurance) after 90 days.
401(k) with company match.
Health, Dental, Vision, Supplemental Life Insurance, and other voluntary benefits; Company-paid life insurance and short-term/long-term disability; Paid Time Off (PTO) and holidays.
Company
PharmaCentra
PharmaCentra is a service offerings include programs designed to improve compliance through patient education via telephonic intervention.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Beth Holt
Chief Operating Officer
Kim Christmas
Vice President of Human Resources and Chief Communications Officer
Company data provided by crunchbase