Experienced Customer Service Representative with a background in handling healthcare accounts, specifically Medicare Part D (Mail Order). Adept at providing exceptional customer support, assisting patients with their prescription needs, and ensuring compliance with healthcare policies and regulations.
Key Responsibilities:
Assist patients with inquiries regarding their Medicare Part D prescription plans.
Process mail-order prescriptions, ensuring accuracy and timely delivery.
Educate customers on coverage, benefits, and copayments related to their medications.
Handle prior authorizations, refill requests, and claim resolutions.
Provide compassionate support while maintaining HIPAA compliance and company policies.
Coordinate with pharmacies, insurance providers, and healthcare professionals to resolve customer concerns.
Document customer interactions and ensure proper follow-ups for a seamless experience.
Meet or exceed quality assurance and performance metrics, including AHT, CSAT, and FCR.
Skills & Qualifications:
? Strong customer service and communication skills
? Experience in Medicare Part D and mail-order pharmacy services
? Ability to handle confidential patient information securely
? Proficient in healthcare systems, claims processing, and insurance coordination
? Detail-oriented with excellent problem-solving skills
Experience: 6 months - 1 year
Experience: Less than 6 months
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