Customer Care Representative (Full-Time)

17 hours, 5 minutes ago
Full-time
Junior
Customer and Technical Support
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

Description

  • Triage incoming phone calls from members and pharmacies with professional phone etiquette and minimal support.
  • Ask probing questions to identify, document, and resolve issues, aiming for first-call resolution and de-escalation when needed.
  • Identify, document, and escalate member and pharmacy concerns to appropriate internal teams, including Operations.
  • Provide support to call center staff, including technicians and customer service representatives.
  • Communicate issues and solutions clearly to members, pharmacies, and internal stakeholders to ensure resolutions meet health and safety standards.
  • Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to internal staff.
  • Follow internal Standard Operating Procedures, adhere to HIPAA guidelines and company policies, and report noncompliance per the Code of Conduct.
  • Work with multiple systems (up to two monitors), multitask in a fast-paced environment, and meet departmental goals such as schedule adherence, attendance, and quality monitoring.
  • Participate in scheduled training (standard training hours Monday–Friday, 9:00am–5:30pm ET) and perform other customer support duties as assigned.

Requirements

  • High school diploma or equivalent (Associate's or Bachelor's degree preferred).
  • 2+ years of PBM or related health care experience required.
  • 2+ years of customer service, call center, and/or health care experience preferred, with strong listening, relationship-building, and written/verbal communication skills.
  • Ability to work independently with minimal supervision in a remote, high-volume, fast-paced, metric-driven call center environment.
  • Bilingual Spanish highly preferred.
  • Medicare experience preferred.
  • Familiarity with call center performance expectations, including schedule adherence, attendance, and quality monitoring.
  • Commitment to follow SOPs, HIPAA guidelines, and report noncompliance under the Capital Rx Code of Conduct.
  • Self-starter with a positive attitude, strong work ethic, and excellent attendance; ability to multitask across multiple systems.

Benefits

  • Hourly rate: $26.00 (Salary range: $26–$26 USD).
  • Remote work environment (ability to work independently in a remote call center).
  • Standard training hours: Monday–Friday, 9:00am–5:30pm Eastern.
  • Company commitment to a diverse and inclusive workplace and equal employment opportunity.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Customer Service Representative – Administrative

Customer Service Representative – Administrative supporting customers and internal teams across the MENA region, combining frontline customer support with administrative coordination to ensure smooth day-to-day operations, accurate documentation, and timely resolution of inquiries.

7 hours, 20 minutes ago

Customer Service Representative – Administrative

Customer Service Representative – Administrative supporting customers and internal teams across the MENA region to ensure smooth day-to-day operations, accurate documentation, and timely resolution of customer inquiries.

7 hours, 35 minutes ago

Digital Energy Specialist

Octopus Energy 1K-5K Electric Utilities

Digital Energy Specialist at Octopus Energy Italia providing remote evening, weekend and holiday digital customer support to maintain continuous high-quality service and resolve customer issues outside standard team hours.

7 hours, 35 minutes ago

Support Operations Specialist (Night Shift)

Aera Technology 251-1K Internet Software & Services

Aera Technology is hiring a Support Operations Specialist (night shift, remote — India) to own and drive the lifecycle of customer escalations during US hours, ensuring triage SLAs, data integrity, cross-functional coordination, and improved support outcomes.

JIRA
8 hours, 20 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers