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Customer Care Representative (Temp to Hire)

2 hours, 59 minutes ago
United States
Contract
Junior
Customer Support
Customer and Technical Support
HIPAA
Apply Now
Capital Rx

Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services
251-1K
Founded 2017
View All Jobs 9

Description

  • Triage incoming calls from members and pharmacies, investigate concerns, and work toward first-call resolution.
  • Provide support to call center technicians and customer service representatives.
  • Document and escalate member and pharmacy issues to the appropriate Operations teams.
  • Communicate issues and resolutions clearly while de-escalating concerns and meeting health and safety standards.
  • Support customer satisfaction through compassionate, accurate, and timely service.
  • Follow standard operating procedures, HIPAA requirements, company policies, and the Judi Health Code of Conduct.
  • Review pharmacy claims and communicate potential fraud, waste, and abuse findings to internal teams.
  • Manage multiple systems and monitors while multitasking in a high-volume, metric-driven environment.
  • Meet departmental goals for schedule adherence, attendance, and quality monitoring.
  • Complete training during Monday–Friday, 9:00 a.m.–5:30 p.m. Eastern hours and perform other assigned support duties.

Requirements

  • High school diploma or equivalent required; associate or bachelor’s degree preferred.
  • At least 2 years of PBM or related healthcare experience required.
  • At least 2 years of customer service, call center, and/or healthcare experience preferred.
  • Strong listening, relationship-building, written communication, and verbal communication skills.
  • Ability to work independently with minimal supervision in a remote, fast-paced call center.
  • Ability to remain productive in a high-volume, metric-driven environment.
  • Bilingual Spanish proficiency highly preferred.
  • Medicare experience preferred.
  • Strong work ethic, positive attitude, reliable attendance, and commitment to customer care.

Benefits

  • Remote position available throughout the United States.
  • Hourly pay of $26.00 USD.
  • Training schedule is Monday–Friday, 9:00 a.m.–5:30 p.m. Eastern.
  • Equal employment opportunity and nondiscrimination protections.

Interested in this position?

Apply directly on the company website

Apply Now

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