Remote Healthcare Customer Service Representative

As a Customer Service Representative, you will serve as a primary point of contact for Medicare members, providers, and pharmacies by resolving prescription benefit issues, coordinating prior authorization requests, and delivering outstanding customer service. PSyn, Inc. is a pharmacist-led managed care consulting firm dedicated to improving healthcare outcomes through innovative pharmacy solutions and exceptional member support.

Benefits:

• 401(k)
• 401(k) matching
• Bonus based on performance
• Opportunity for advancement
• Wellness resources

Now Hiring: Remote Healthcare Customer Service Representative
Location Requirement: Applicants must reside in North Carolina, South Carolina, Georgia, Florida, or Virginia.
Work Location: Remote
 
About PSyn, Inc.
PSyn, Inc. is a pharmacist-led managed care consulting firm dedicated to improving healthcare outcomes through innovative pharmacy solutions and exceptional member support. As our organization continues to grow, we are seeking a motivated Customer Service Representative to join our high-performing remote team.
If you're passionate about helping others, enjoy solving problems, and have healthcare call center experience, we'd love to hear from you.
 
Position Summary
As a Customer Service Representative, you will serve as a primary point of contact for Medicare members, providers, and pharmacies by resolving prescription benefit issues, coordinating prior authorization requests, and delivering outstanding customer service. This role requires strong communication skills, attention to detail, and the ability to thrive in a fast-paced virtual environment.
 
Key Responsibilities

• Assist Medicare members with rejected pharmacy claims and benefit-related inquiries
• Communicate with healthcare providers and pharmacies to facilitate prior authorization requests
• Conduct outbound member calls for medication adherence, refill reminders, and other outreach initiatives
• Research and resolve escalated member service issues accurately and professionally
• Document all member interactions in accordance with company policies and regulatory requirements
• Maintain quality, productivity, and compliance standards while working in a remote call center environment 

Qualifications
Required:

• Minimum of two (2) years of customer service experience
• Previous healthcare call center experience
• Excellent verbal and written communication skills
• Strong customer service, problem-solving, and organizational skills
• High attention to detail and ability to manage multiple priorities
• Proficiency with Microsoft Word, Excel, and web-based applications

Preferred:

• Managed Care or Pharmacy Benefit Management (PBM) experience
• Bilingual (English/Spanish)

 
Remote Work Requirements
To ensure compliance with HIPAA and protect member privacy, employees must maintain a professional home office environment that supports confidential communication.
Requirements include:

• A dedicated, quiet workspace separate from common living areas
• Reliable high-speed internet service
• A headset suitable for professional phone communication
• The ability to maintain confidentiality and minimize distractions during scheduled work hours

PSyn will provide the necessary computer equipment and tools required to perform the essential functions of this position.
 
Benefits

• Fully remote work environment
• 17 days of Paid Time Off annually (available after 90 days of employment)
• Paid holidays, including:
  • New Year's Day 
  • Memorial Day 
  • Independence Day 
  • Labor Day 
  • Thanksgiving Day 
  • Day after Thanksgiving 
  • Christmas Eve 
  • Christmas Day
• Health insurance reimbursement of up to $300 per month
• $500 wellness bonus every six months
• 401(k) with a 3.5% company match after six months of employment (two-year vesting schedule)
• Career advancement opportunities into Team Lead, Supervisor, and Program Manager positions
• Supportive leadership and a collaborative, mission-driven culture 

Training
New hires will participate in a paid three-week training program conducted Monday through Friday, 8:30 AM – 5:30 PM. 
 
Schedule

• Training Schedule: Monday through Friday, 8:30 AM – 5:30 PM (first three weeks; paid)
• Regular Schedule: Monday through Friday, 9:00 AM – 6:00 PM

Compensation
$14.00–$21.00 per hour, based on experience
 
Eligibility
Applicants must reside in one of the following states:

• North Carolina
• South Carolina
• Georgia
• Florida
• Virginia 

Join Our Team
If you're looking for an opportunity to build your career while making a meaningful impact on the lives of Medicare members, we'd love to hear from you. Apply today and become part of a team committed to delivering exceptional service and improving access to quality healthcare.