Introduction to arenaflex
arenaflex is a leading healthcare organization dedicated to providing high-quality services to its members, providers, and pharmacies. Our mission is to ensure that all medically necessary prescription drugs are accessible and used in a cost-effective, safe manner. We are committed to creating, operating, and monitoring pharmacy benefit programs that adhere to all federal and state laws. As a trusted partner in the healthcare industry, we strive to make a positive impact on the lives of our members and the communities we serve.
Job Summary
The MTM Pharmacy Service Representative plays a vital role in our organization, responsible for performing outreach attempts and handling inbound calls for our arenaflex members. This position requires excellent communication skills, a strong customer service background, and the ability to work independently in a fast-paced environment. As a key member of our team, you will be responsible for transferring members to internal departments for medication reviews, scheduling appointments, and acting as a liaison between other departments.
Key Responsibilities
- Handle and record inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.
- Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians, and pharmacists.
- Provide clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.
- Follow policies and procedures for appropriate call resolution or transfer to internal departments as required.
- Utilize appropriate resources to ensure members' contact information is current and up to date.
- Effectively communicate general Medicare and Medicaid plan benefits to existing members.
- Interact with appropriate primary care providers to ensure patient registry is current and accurate.
- Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
- Proactively identify ways to improve member relations.
Essential Qualifications
To be successful in this role, you will need:
- A High School Diploma or equivalency.
- 1-3 years of call center or customer service experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects.
- Strong verbal and written skills and excellent phone etiquette.
- Ability to multi-task applications while speaking with members.
- Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook).
Preferred Qualifications
While not required, the following qualifications are preferred:
- An Associate's Degree.
- 3-5 years of experience in the healthcare industry.
- Bilingual skills in Spanish, Mandarin, Korean, Yue Chinese, or Vietnamese.
Skills and Competencies
To excel in this role, you will need to possess:
- Strong communication and interpersonal skills.
- Ability to work in a fast-paced environment and prioritize tasks effectively.
- Excellent problem-solving and analytical skills.
- Strong attention to detail and ability to maintain accuracy in a high-volume call center environment.
- Ability to work independently and as part of a team.
Career Growth Opportunities and Learning Benefits
At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to:
- Comprehensive training programs to enhance your skills and knowledge.
- Opportunities for career advancement and professional growth.
- A supportive and collaborative work environment that encourages innovation and creativity.
- Recognition and reward programs to acknowledge your contributions and achievements.
Work Environment and Company Culture
arenaflex is a dynamic and inclusive organization that values diversity and promotes a culture of excellence. Our remote work environment offers flexibility and work-life balance, allowing you to thrive in your role. You will be part of a team that is passionate about making a difference in the lives of our members and the communities we serve.
Compensation, Perks, and Benefits
arenaflex offers a competitive benefits and compensation package, including:
- Comprehensive health insurance plans.
- Retirement savings plans and matching contributions.
- Paid time off and holidays.
- Professional development opportunities and tuition reimbursement.
- Recognition and reward programs.
Conclusion
If you are a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. As a Customer Service Representative with arenaflex, you will be part of a team that is dedicated to making a positive impact on the lives of our members. Apply now and take the first step towards a rewarding and challenging career with a leading healthcare organization.