Customer Care Associate I - Remote

Join Our Team and Start Your Career Journey with Prime Therapeutics!

We're seeking a highly motivated and customer-focused individual to join our team as a Customer Care Associate I - Remote. As a front-line service representative, you will provide exceptional support to our members and providers, answering questions and resolving concerns related to eligibility, benefits, claims, and authorization of services. If you're passionate about delivering outstanding customer service and want to be part of a dynamic team, we encourage you to apply!

Job Summary

As a Customer Care Associate I - Remote, you will be responsible for providing assistance to Prime Therapeutics members and providers regarding programs, policies, and procedures. Your goal will be to provide outstanding service, resolve member and provider needs on the first call, and meet or exceed operational production and quality standards.

Key Responsibilities

• Actively listen to and probe callers to determine the purpose of their calls, providing professional and timely support.
• Research and communicate information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries while maintaining confidentiality.
• Resolve customer administrative concerns, including claim resolutions and expressions of dissatisfaction.
• Identify and bring to the attention of responsible entities any operational problems or inefficiencies.
• Assist in the mentoring and training of new staff members.
• Assume full responsibility for self-development and career progression, proactively seeking and participating in ongoing training sessions.
• Comprehensively assemble and enter patient information into the appropriate delivery system to initiate EAP, Care, and Utilization management programs.
• Demonstrate flexibility in areas such as job duties and schedule to better serve members and achieve business and operational goals.

Requirements

• GED or High School diploma required; Associate's or Bachelor's degree preferred.
• Customer service experience required.
• Proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.
• Ability to maneuver through various computer platforms while verifying information on all calls.
• Ability to talk and type simultaneously.

What We Offer

• Competitive salary package ranging from $16.00 - $21.26 based on experience and skills.
• Comprehensive benefits package, including incentives and additional compensation.
• Opportunity to work in a dynamic and supportive remote environment.
• Equal opportunity and affirmative action employer, welcoming diverse candidates and qualified applicants with arrest and conviction records.

Apply Now and join our team to build a brighter future together!