Overview:

Scope of Responsibilities: Acquires skillset and knowledge of PBM and mail order resources, within their respective platforms, to effectively answer and document member related inquiries, complete eligibility updates and service member and client request in an accurate and efficient manner.

Job Summary: Mid-level position.  Works under direct supervision following standard procedures and best practices to accomplish assigned tasks, undergoing job training, assisting staff members to complete daily duties and works toward answering incoming and making outbound calls independently.  Provide support as needed to peers, leaders and other ProAct administrative resources.

Responsibilities:

Job Duties:

Help Desk phone coverage for incoming calls, outbound calls and directing incoming calls to appropriate staff members.

Understand, master and gain efficiency in systems leveraged by the Help Desk.

Provide Help Desk resolution of customer service issues to ensure complete client satisfaction.

Provide Help Desk resolution of Pharmacy Network problems to ensure complete client satisfaction.

Assist with and adopt readiness for the startup of new clients including new group enrollments, changes, and deletions.

Assist with on-site client orientation, health fairs and business conferences as needed.

Assist with on-site resolution of customer service issues to clients as needed.

Participates and supports in the augmentation of training and development efforts of our helpdesk.

Performs office duties as needed (includes copying, collating, mailings, filing, credit cards)

Responsible for completing all mandatory and regulatory training programs

Perform other duties as assigned

Qualifications:

Educational Requirements:

Preferred: High School Diploma or GED, or equivalent experience

Experience:

Preferred: 1+ years experience as Rx Technician or Customer Service Representative in an insurance related service.

Compensation

$18.00 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.  

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.