**Experienced Patient Care Advocate – Remote Ca...

Remote Full-time
At Talensiq, we're dedicated to delivering exceptional patient care and support to our members, providers, and physicians. As a key member of our remote call center team, you'll play a vital role in ensuring that our patients receive the highest level of service and support. If you're passionate about delivering outstanding customer service and have a knack for problem-solving, we want to hear from you. **About Flexara** Jobnity is a leading healthcare organization that's committed to improving the lives of our patients and communities. We're a dynamic and innovative company that's always looking for ways to improve our services and support our members. Our remote call center is a critical part of our operations, and we're seeking a highly skilled and compassionate Patient Care Advocate to join our team. **Job Summary** As a Patient Care Advocate, you'll be responsible for handling customer service inquiries from members, providers, physicians, and internal and external clients related to pharmacy benefits. You'll work to research and resolve problems in a timely manner, assist members in understanding and maximizing the use of their pharmacy distribution program, and use our computerized system to gather information and respond to questions. You'll also document issues and resolutions in a common database and escalate issues as necessary. **Essential Functions** * Handle inbound and outbound member, provider, and physician calls in a professional and courteous manner * Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable * Work with other operational departments to research and resolve mail order and claims issues and respond to members within performance agreement guidelines * Maintain accurate and complete documentation of all inquiries in order to continuously improve the customer service process and reduce potential legal concerns * Identify and escalate in a prudent manner, concerns received from patients and/or clients so that corrective action can be pursued and expedited to take care of their needs * Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state, and federal safety regulations * Perform other duties as needed to support the team and achieve our goals **Responsibilities** * Respond to customer inquiries in a timely and professional manner * Research and resolve problems related to pharmacy benefits, mail order, and claims * Collaborate with other departments to resolve complex issues * Document all interactions and resolutions in our common database * Escalate issues as necessary to ensure timely resolution * Provide exceptional customer service and support to our members, providers, and physicians * Stay up-to-date on company policies, procedures, and regulatory requirements **Qualifications** * 1 year of experience in a call center or customer service role (preferred) * Excellent communication and problem-solving skills * Ability to work in a fast-paced environment and prioritize tasks effectively * Strong attention to detail and organizational skills * Ability to work independently and as part of a team * Basic computer skills and proficiency in using our computerized system * High school diploma or equivalent required; associate's or bachelor's degree preferred **Preferred Qualifications** * Experience working in a healthcare or pharmaceutical industry * Knowledge of pharmacy benefits and mail order processes * Certification in customer service or a related field (e.g., Certified Customer Service Representative (CCSR)) * Bilingual or multilingual skills (e.g., Spanish, English, French) **Skills and Competencies** * Excellent communication and interpersonal skills * Strong problem-solving and analytical skills * Ability to work in a fast-paced environment and prioritize tasks effectively * Strong attention to detail and organizational skills * Ability to work independently and as part of a team * Basic computer skills and proficiency in using our computerized system * Ability to adapt to changing priorities and deadlines * Strong customer service skills and a commitment to delivering exceptional service **Career Growth Opportunities and Learning Benefits** * Opportunities for professional growth and development in a dynamic and innovative company * Access to ongoing training and education programs to enhance your skills and knowledge * Collaborative and supportive work environment with a team of experienced professionals * Flexible scheduling and remote work options to support work-life balance * Competitive compensation and benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off **Work Environment and Company Culture** * Remotara is a remote-friendly company that values flexibility and work-life balance * Our call center is a fast-paced and dynamic environment that requires stro

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