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Client Resolution Advocate - Remote

Posted 3 days ago
Customer Service
Full Time
USA
$70,000 - $80,000 USD

Overview

As a Client Resolution Advocate, you will manage a client portfolio as the primary link between Customer Care and all internal support units. You will be responsible for escalated issue resolution, agent support, and client support, ensuring seamless service to members, patients, providers, pharmacies, and clients.

In Short

  • Manage all client escalations across the book of business.
  • Assist patients in accessing financial assistance programs.
  • Interact directly with all Clients, Pharmacies, Providers, Consultants, and Members/Patients.
  • Foster strong relationships with all workgroups.
  • Resolve issues within defined timeframes.
  • Support training programs for client implementations and new hires.
  • Collaborate with internal teams for continuous improvement.
  • Identify root causes of issues and proactively address opportunities for improvement.
  • Assist patients in accessing financial aid programs for specialty medications.
  • Ensure seamless communication between stakeholders for quality care.

Requirements

  • 2+ years of call center operations experience.
  • PTCB or NHA Pharmacy Technician certification and active license required.
  • Familiarity with HIPAA guidelines and regulations.
  • Excellent customer service and communication skills.
  • Ability to develop people and processes.
  • Excellent organizational and time management skills.
  • Adaptability to changing priorities.
  • Strong attention to detail.
  • Ability to work independently in a fast-paced environment.
  • Bachelor's degree preferred or equivalent experience.

Benefits

  • Flexible work environment.
  • Opportunity to make a significant impact in healthcare.
  • Supportive team culture.
  • Professional development opportunities.
  • Comprehensive benefits package.

C.R

Capital Rx

Capital Rx is a health technology company dedicated to providing innovative claim administration and technology solutions for carriers, health plans, third-party administrators, employer groups, and government entities. As a public benefit corporation, Capital Rx aims to significantly reduce healthcare costs through its full-service pharmacy benefit management (PBM) services and the deployment of Judi®, a cloud-native enterprise health platform. Judi integrates all aspects of the healthcare ecosystem into a single, efficient, and scalable platform, serving millions of members across Medicare, Medicaid, and commercial plans. The company is committed to reimagining benefits administration and rebuilding trust in healthcare while fostering a diverse and inclusive workplace.

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