Member Services Agent

🔥 2 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Liviniti

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Liviniti is a pass-through pharmacy benefit manager (PBM) that helps employers and health systems reduce prescription drug costs through transparent pricing, clinical programs, and drug sourcing. The company offers 100% rebate pass-through, a flat administrative fee, access to claims and rebate details for full visibility, customizable formularies and networks, prior authorization focused on lowest net cost, and specialized solutions like LivLite for managing GLP‑1 weight-loss drugs. Liviniti emphasizes B2B service, clinical value, and continuous innovation to lower pharmacy spend while maintaining member support and service.

📋 Description

• Provide effective customer service to internal and external customers • Use in-depth knowledge of company products and programs to assist customers • Confer with customers by telephone regarding Rx claims processing • Maintain detailed records of customer interactions and transactions • Follow up to ensure appropriate changes resolve customer problems • Refer unresolved customer grievances to designated departments • Review Rx insurance policy terms to determine claim coverage for employer groups • Contact customers regarding inquiries, claim investigation results, or planned adjustments • Resolve customer service and billing complaints • Examine relevant information to assess complaint validity and causes • Protect and report issues involving HIPAA-protected health information • Attend and demonstrate competency in required HIPAA training • Perform other assigned duties as business needs change

🎯 Requirements

• High School or equivalent • Customer service experience • Computer experience • Knowledge of principles and processes for providing customer and personal services • Ability to use computers and computer systems • Ability to communicate with supervisors, peers, subordinates, customers, and external contacts by telephone, email, in writing, or in person • Ability to obtain, process, calculate, audit, and verify information and data • Ability to handle complaints, settle disputes, and resolve grievances • Ability to organize, plan, prioritize, and manage time • Ability to perform administrative activities and maintain information files • Problem-solving and analytical skills • Communication proficiency • Teamwork orientation • Technical capacity • Multitasking ability • Flexibility to work assigned shifts, including call center operating hours • Availability for rotating on-call responsibilities • Ability to comply with HIPAA obligations and complete required HIPAA training

🏖️ Benefits

• Equal employment opportunity and nondiscrimination protections • HIPAA training provided by the company