In this fully remote position, you will serve as a key point of contact for patients navigating specialty pharmaceutical access, financial assistance, and non-commercial pharmacy programs. Operating on a flexible 8-hour shift during normal business hours (Monday through Friday, 7:00 AM to 8:00 PM CST), you will process incoming referrals, investigate insurance coverage guidelines, resolve patient inquiries with a "one-call resolution" mindset, and enter clear notes into proprietary software while speaking on the phone. Working independently with advanced problem-solving skills, you will also monitor and report adverse events within required timeframes, educate callers on available support programs, and guide patient accounts from initial intake through final approval or denial.
salary: $19.99 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Position Summary:
Process patient referrals, investigate insurance benefit coverage, document detailed interaction notes in CRM software, report adverse events, and deliver empathetic phone support to patients and healthcare providers.
Key Responsibilities:
- Handle inbound and outbound calls, identifying caller needs and delivering one-call resolutions.
- Create accurate referrals and applications in central CRM software while maintaining data integrity.
- Investigate patient and physician inquiries regarding therapy status, insurance coverage, and reimbursement.
- Enter clear, real-time documentation into proprietary software while conversing with callers.
- Identify and report adverse events strictly within mandated timeframes and company protocols.
- Steward patient accounts from initial intake through final approval or denial.
- High School Diploma or GED required.
- 1–3 years of related customer service or call center experience.
- Familiarity with Medicare, Medicaid, Commercial payer guidelines, and pharmacy benefit practices preferred.
- strong computer literacy, data entry skills, and proficiency in MS Office.
- Dedicated, private, quiet home workspace with hardwired high-speed broadband internet (15 Mbps download / 5 Mbps upload minimum).
- Full availability for mandatory virtual training (Monday – Friday, 8:00 AM – 5:00 PM CST with camera enabled).
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.