WFH Medical Customer Service

We are seeking a WFH Medical Customer Service Representative for a full-time, direct hire opportunity supporting customers, pharmacies, and healthcare providers with prescription benefit questions. This remote call center role is a strong fit for a dependable, customer-focused professional who enjoys solving problems, navigating multiple systems, and providing accurate support in a healthcare services environment.

This opportunity offers structured virtual training, ongoing coaching, steady full‑time hours, and a supportive remote team environment. Candidates who are tech‑savvy, service‑oriented, and interested in building a long‑term career in healthcare customer support will find clear expectations, leadership support, and a team‑focused culture designed to help employees succeed.

• Handle approximately 60 to 80 inbound customer service calls daily in a professional, accurate, and helpful manner.
• Assist customers, pharmacies, and healthcare providers with prescription benefits, eligibility, coverage, claims, authorizations, billing, payments, and medication delivery questions.
• Research and resolve customer concerns using multiple computer systems, internal tools, and available resources.
• Accurately document customer interactions, updates, case details, and resolutions.
• Meet quality, productivity, attendance, compliance, and customer experience expectations in a remote call center environment.
• Maintain privacy, confidentiality, and healthcare service standards while working from home.

• Pay: $15.00 per hour.
• Full‑time, direct hire position.
• Work‑from‑home opportunity.
• Paid twice per month.
• Hours of operation are 6:00 AM to 10:00 PM CST.
• Open 7 days per week.
• Must work Saturday or Sunday each week.
• Must be available to work a 40‑hour schedule within operating hours.
• No part‑time opportunities are available.
• Training includes 16 days of virtual classroom training and 5 days of live‑call training.
• 100% attendance is required during training.
• Ongoing coaching and development are provided.

• Support inbound healthcare customer service calls related to prescription benefits and pharmacy services.
• Research eligibility, coverage, claims, authorizations, billing, payment, and medication delivery questions.
• Document customer interactions accurately while meeting call center quality and productivity standards.
• Use multiple computer systems to resolve issues and provide clear information to customers, pharmacies, and providers.
• 3 to 5 years of customer service, call center, healthcare support, pharmacy support, or related experience preferred for success in this role.
• Ability to work full time from home in a structured call center environment.
• Strong computer skills with the ability to navigate multiple systems while speaking with customers.
• Excellent verbal communication, active listening, and problem‑solving skills.
• High attention to detail and ability to document information accurately.
• Dependable attendance and ability to meet training, schedule, quality, and productivity expectations.
• Ability to maintain confidentiality and follow healthcare privacy and compliance standards.
• Professional, patient, and service‑focused approach when assisting customers, pharmacies, and healthcare providers.

• Previous experience in a healthcare, pharmacy, prescription benefits, insurance, or medical customer service environment.
• Prior remote call center experience.
• Familiarity with claims, eligibility, authorizations, billing, or prescription benefit terminology.
• Ability to remain calm, organized, and solution‑focused in a high‑volume inbound call environment.

Equal Opportunity Employer / Disabled / Protected Veterans

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