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Accentuate Staffing is currently recruiting for a Customer Service Representative to join a local company in the Raleigh area.  This position is responsible for taking inbound and outbound calls pertaining to medication orders, pharmacies, delivery couriers, and their respective agents.his position serves as a first point of contact for all clients and vendors contacting the organization to provide world class client service. The shifts are: 3:30pm-12:00am or 12:00 am-8:30am Friday through Monday

Responsibilities:

• Communicate, interface, correspond, address, and follow up in response to general service needs, medication order processing, and information requests using electronic and written means which may include phones, fax and e-mails, with various points of contact, including but not limited to: clients, pharmacies, pharmacists, Long Term Care facilities, agencies, and vendors.
• Collect, troubleshoot and verify accuracy of data such as patient demographics, medication, names, strengths, quantities, etc. , from direct contact/calls/faxes/emails for input into claim processing system to allow claims to process appropriately, and provide timely resolution and follow-up to claims processing issues as they arise.
• Contact and document pharmacy contact information which may include phone/fax numbers, address, hours of operation, pharmacy manager names, and use internet tools to determine distance to/from client location.
• Provide information, as requested or needed, to clinical pharmacists and other staff, to assist in the accurate and timely completion of reports and med reviews for various clients.
• Document and provide accurate record of work performed on projects and their status.
• Provide daily/weekly reports to clients or management as necessary.
• Maintain quality standards and a professional image, as determined by management.
• Adhere to all company policies, and federal and state regulations, in accordance with company training.
• Initiate and maintain a good rapport with internal and external clients.

Requirements:

• High school diploma, GED or greater required.
• Preferred 2 years of client service experience gained through positions held in the health insurance industry, pharmacy billing, and/or medical claims processing or health care field with exposure to: benefits, eligibility, and claims processes.
• 1 to 2 years previous heath care call center experience preferred.
• Basic understanding and knowledge of health insurance usage processes and/or procedures.
• Previous experience with Microsoft Office, specifically Excel and Word, required.