Overview:

BroadPath is excited to announce that we are hiring Healthcare Member Service Representatives for work-at-home positions. Our Healthcare Member Service Representatives will receive inbound calls from current pharmacy plan members responding to inquiries regarding benefit and eligibility information and prescription status. Representatives may also make outbound calls to members regarding prescription issues.

Responsibilities:

Explain medicare advantage plans to members, pharmacies, any additional verified caller
Handle updates to members accounts, such as adding/editing basic information (Address, Telephone, PCP, etc.)
Have excellent schedule adherence – time management is a must
Handle mail order items and review as needed with the caller
Handle basic customer issues such as complaints, appeals, prescription/PCP issues or concerns
Handle billing concerns such as billing issues, refunds, escalations as needed
Actively listen to the caller to verify what individual/department/pharmacy will need to be contacted in order to work together to resolve the issue
Work with the identified individuals/departments regarding any of the above call scenarios in order to resolve the caller’s issue
Effectively navigate and utilize a knowledgebase system on every call
Adhere to all call metrics as set forth by the client including Schedule Adherence, Average Handling Time, After Call Work and CSAT scores (Customer Satisfaction Scores) if applicable
Have excellent schedule adherence - time management is a must
Be dependable, organized and service minded
Have quality focus and are detail oriented
Ensure compliance with BroadPath, Client, and HIPAA regulations

Qualifications:

1+ years of healthcare, claims, or medical administrative work experience
2+ years of customer service or call center experience
Computer literate (Microsoft Windows, keyboarding skills, strong systems aptitude)
Medical and Healthcare terminology knowledge
Exceptional communication skills
Strong computer/data entry skills
High school diploma or equivalent
Proficiency in Microsoft Office and industry-related software programs
Ability to work with peers in a team effort and independently resolve issues
Demonstrated ability to manage multiple priorities and deadlines
Capability to efficiently complete tasks in a fast-paced environment
100% attendance is required during training: No time off within the first 60 days of employment
Responsible for providing your own 19" monitor or larger with VGA or HDMI port with corresponding cable, USB wired mouse, ethernet cable, and optional USB wired keyboard
Reliable hardwired internet is a must with at least 25mbps download | 10mbps upload speeds

Preferred Qualification
- Healthcare experience in a call center environment
Speed Test Disclaimer:
- Please note that all Internet Speed Tests are monitored and will be verified. They must be taken on a laptop or desktop computer and plugged directly into your router
- Speed Tests cannot be completed on a mobile device. We recommend completing your application on a computer to make it easier to submit your results simultaneously

Diversity Statement:

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans:If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

BroadPath jobs

Healthcare Member Service Representatives