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Customer Care Representative - SHP Customer Service (Virtual, Day Shift, Per Diem)

Sharp Health Plan · Remote (Virtual)

$28.10-$39.24/hour

  • Provide direct, timely communication between Sharp Health Plan and members, potential members, providers, employer groups, and brokers.
  • Handle Commercial member inquiries and complaints by phone, resolving concerns accurately and promptly.
  • Verify prescription drug eligibility, benefits, claims, and authorizations in the PBM MedAccess system; update member info.
  • Verify enrollment, benefits, premiums, and group information in Salesforce; generate member letters and retrieve documents.
  • Use SharpConnect to assist members with online inquiries; document all calls in the IDX Customer Service Module.
  • Requires HS diploma and minimum 6 months as a customer call-center representative; medical office certification/terminology preferred.
  • Pay range $28.10 (min) - $35.04 (mid) - $39.24 (max) per hour; 8-hour shifts, weekends as needed, no on-call; day shift.

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