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RxBenefits, Inc.

Member Services Representative

RxBenefits, Inc., Birmingham, Alabama, United States, 35275

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Posted Tuesday, August 18, 2020 at 4:00 AM

Founded in 1995, RxBenefits occupies a unique niche in the healthcare benefits industry as a strategic expert on pharmacy benefit procurement and administration. Staffed by veterans of the benefit and pharmacy industries, our firm specializes in advocacy services for consultants on behalf of employers, employees, and their covered dependents. With our guidance and specialized expertise, clients maximize the value of their pharmacy benefits, enjoying a significant increase in services and cost savings. As a proven pharmacy partner, RxBenefits provides all pharmacy benefit manager (PBM) administrative services, ensures contract criteria and performance guarantees are met or exceed requirements, and produces quantitative results on the value of the offerings. Our firm is the only pharmacy administration company in the U.S. that brings award‑winning service to employers while leveraging the industry‑leading capabilities of top PBMs. RxBenefits serves a national client base from our headquarters in Birmingham, Alabama.

Member Services Representative RxBenefits is hiring! We are adding resources to the Member Services team in our Birmingham, AL headquarters. Member Services Representatives are an important first‑line of contact with our customers, setting the tone for how our company and services are experienced. They are a strong advocate and champion for our organization and provide participants with the correct information at the right time to help them make better decisions about their benefits. The Member Services Representative promotes a positive team environment, continuously evaluating and identifying opportunities to drive process improvements that positively impact the participant experience and align to the goals and objectives of the company. Member Services Representatives use a variety of technological resources to ensure customers receive maximum satisfaction.

The essential job function requires working in an inbound call center environment answering calls in a professional manner and staying focused on building customer loyalty.

Job Responsibilities

Professionally handle a high volume of complex inbound calls

Ensure questions and issues are resolved promptly and accurately in a manner that participants can understand while thoroughly and efficiently gathering information, assessing and fulfilling the caller’s needs, and providing education along the way

Effectively handle complaints while consistently demonstrating respectful behaviors that contribute to good service; maintain strict confidentiality of sensitive information

Work collaboratively with internal and external business partners to provide solutions by following through and bringing outstanding issues to closure on the initial contact with the participant

Address customer issues and ensure effective and long‑term problem resolution

Focus on "call quality" and "first call resolution" with each call

Communicate with PBM staff, pharmacy staff, pharmacists, medical office staff, and/or physicians to resolve customer needs

Partner with Account Management and Sales Staff to provide customers with excellent service

Be a dedicated team member in our phone queue and a great team player with internal colleagues

Provide information about company programs, products and services

Learn multiple software systems to service all clients and products

Required Skills / Experience High school diploma or equivalent required. Associate’s or Bachelor’s degree preferred.

Previous call center experience required

Prior Member Services knowledge with a concentration in pharmacy experience preferred

The ability to think and act independently

Ability to identify process improvements

Excellent interpersonal skills for frequent interaction with members, managers, brokers, and vendors

High degree of professionalism, with the ability to interact effectively with employees at all levels

Knowledge of principals and protocols of phone etiquette and call center techniques

Excellent verbal and written communication skills

Proficiency with Microsoft Office products including Word, Excel, Internet, Outlook email

Demonstrates strong Member Services focus

Self‑motivated, self‑starter, with a positive personality

Good decision making ability and problem‑solving skills

Ability to work for extended periods of time wearing a headset in a call center environment

Ability to read, understand and adhere to standard company policies and procedures

Ability to remain positive in all situations with difficult customers

Ability to handle non‑routine customer calls

Ability to sell a product or service

Ability to adjust priorities and manage time wisely in a fast‑paced environment

Ability to gather data, monitor processes, and seek continuous improvement opportunities

Knowledge of pharmacy processes and medical terminology

Strong organizational skills and extremely detail‑oriented

Ability to work with multiple interruptions and tight deadlines

RxBenefits is an equal opportunity employer where an applicant's qualifications are considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, sexual orientation, gender identity or expression, or any other basis prohibited by law.

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