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Role Summary
This position provides high-volume call center support and exceptional customer service to patients and health care providers. The role educates patients on enrollment, handles status inquiries, and schedules deliveries, using a core CRM system to manage workload and route work to teammates.
Responsibilities
- Maintains high level of customer service, account overview, and urgent order submission.
- Demonstrates reliable data entry, active listening, proper phone etiquette, strong verbal and written communication, and teamwork.
- Acts as the initial point of contact for patients and health care professionals, guiding callers through order processing activities.
- Ensures accurate information or directs calls to the appropriate team member with professionalism.
- Documents all communications and notifies relevant parties of urgent orders, shipping issues, errors, complaints, or adverse drug events.
- Identifies potential Adverse Event situations for reporting to Pharmacovigilance to ensure FDA regulatory compliance.
- Meets performance standards aligned with predefined metrics.
- Completes required training to perform all functions, including soft skills certification and program overviews.
Qualifications
- High School Diploma or GED required; Associate or College Degree preferred.
- Previous experience in a call center, healthcare office, corporate setting, healthcare insurance provider, or pharmacy is highly desirable.
- Understanding of commercial and major medical insurance programs, billing, benefit investigation, prior authorization, and appeal filings.
- Knowledge of private payers, pharmacy benefits, medical benefits, Medicare Part D, Medicaid, and alternative funding resources.
- Strong organization and problem-solving skills to handle patient conversations and address needs.
- Comfort with using multiple applications to capture case information.
- Proficiency in Microsoft Office Suite and Lotus Notes (Excel, Word, Outlook, SharePoint).
- Professional communication skills and courteous attitude towards customers and colleagues.
- Critical thinking, analytical skills, and ability to work with minimal supervision; strong written and verbal communication, customer service, and interpersonal skills.
- Ability to act appropriately in a stressful environment.
- Residence in the State of Illinois.
- Availability to work between 7:00am to 7:00pm.
Skills
- Customer service excellence
- Data entry and documentation
- Communication (verbal and written)
- Problem solving and critical thinking
- CRM and multi-application navigation
Education
- High School Diploma or GED required; Associate or College Degree preferred.