Join
PharmaCentra
as a remote
Member
Service
s
Representative
and become the trusted first point of contact for members seeking support with pharmacy benefits, coverage questions, and account
assistance
. In this fully remote role, you will deliver compassionate,
accurate
service in a fast-paced call center environment while helping members navigate important healthcare needs.
What
You'll
Do
Handle 40+ inbound calls daily with professionalism, empathy, and efficiency
Respond to member inquiries within service standards
Educate members on benefits, coverage, claims, and plan processes
Assist
with prior authorizations, formulary exceptions, and appeals
Research and resolve issues using multiple systems in real time
Accurately document all interactions in CRM and internal systems
Escalate complex concerns while
maintaining
ownership of the member experience
Participate in training, coaching, team huddles, and performance improvement initiatives
Follow HIPAA/privacy standards, quality guidelines, and company procedures
What
We're
Looking For
Education
: High School Diploma or equivalent.
Experience
:
1
+ year of customer service, member services, health
care, or call center experience;
Pharmacy benefits, managed care, claims, or
healthcare experience preferred
Skills
: Ability to manage high call volumes in a fast-paced environment.
Strong communication
, active listening, and customer service skills. Experience with claims processing and prior authorizations preferred. Detail-oriented with strong problem-solving skills and the ability to multitask across multiple systems.
Technical Skills
:
Proficiency
in Microsoft Office (Excel, Word, PowerPoint, Outlook), CRM, or contact center platforms
Required Equipment
: Windows 10/11 PC (Intel i5/AMD Ryzen 5+, 8 GB RAM, 256 GB SSD), webcam, noise-canceling headset
(no Mac or Chromebooks)
Benefits
Competitive pay and growth opportunities.
Fully remote with flexible scheduling.
DailyPay
for daily wage access.
Comprehensive benefits (medical, dental, vision, disability, life insurance
)
, PTO, and paid holidays
after
90 days
.
401(k) with company match
after 1 year of service
.
Work Schedule
Full-time,
40 hours
/week
Training typically lasts two weeks, with sessions held Monday to Friday, 10 AM to 6 PM Eastern Time (ET). After training, you will be assigned a fixed schedule, which will remain consistent unless there are changes to business needs or personal requirements.
Employees work 8-hour shifts between 12 PM and 10 PM ET Monday through Friday, with a requirement to work one weekend day per week during the same hours.
Ready to Join Us?
I
f
you're
detail-oriented and solution-driven with
strong communication
skills, we encourage you to apply now! Our 3-minute, mobile-friendly application process is quick and easy. We look forward to hearing from you!
**After applying, p
lease
complete the (1) A
ssessmen
t and (2) Internet Speed Test
to avoid processing
delays. Candidates
will be contacted using the email address and phone number provided.