Customer Resolution Associate

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $17 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• Process, communicate, document, and track member cases for Pharmacy Services • Interact with members, pharmacies, prescribers, and plans to provide support and assistance with program inquiries and administrative functions • Handle inbound and outbound phone, email, and fax communications related to the concierge program • Process Pharmacy case management cases by entering, reviewing, and documenting requests in claims processing and case management systems • Establish and maintain case profiles and accurately enter member, prescriber, pharmacy, and drug information • Investigate and resolve phone inquiries in a timely manner and escalate issues as necessary • Manage work queues and volumes to meet client-specific turnaround times • Perform other duties as assigned

🎯 Requirements

• High school diploma from an accredited school or equivalent GED • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Strong verbal and written communication skills, interpersonal skills, and attention to detail • Demonstrated organizational and time-management skills • Willingness and ability to learn internal systems, processes, and programs • Willingness to work overtime, weekends, and holidays on a rotating basis as needed • Ability to adapt and work collaboratively in a dynamic fast-paced production environment • Basic math skills and general PC knowledge, including Microsoft Office, Internet, and email • Ability to work a flexible schedule to accommodate business needs • Preferred: Associate's degree in business, health care, or related area of study • Preferred: 1 year of customer service experience, including 6 months of work experience in Pharmacy Benefit Management (PBM) or health care • Must comply with security responsibilities, security controls, legal, regulatory, contractual requirements, and internal policies and procedures • Must be able to perform the essential functions of the job

🏖️ Benefits

• Benefits, incentives, and additional compensation are available; see the Benefits at a glance page • Reasonable accommodations for employees with disabilities, absent undue hardship • Equal opportunity and affirmative action employer • Tobacco-Free Workplace