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Medical Customer Service Representative

Pride Health, San Antonio, Texas, United States, 78208

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Pride Health is hiring a Medical Customer Service Representative to support our client's medical facilities based in San Antonio, TX 78257. This is a 4-month assignment (possibility of extension or conversion) opportunity and a great way to start working with a top-tier healthcare organization!

Job Details

Job Name: Medical Customer Service Representative

True Title: Pharmacy Care Coordinator

Location: San Antonio, TX 78257

Duration: 4+ months Contract (possibilities of extension)

Pay rate: $12 - 13.14/hr. On W2 (Pay Rate is based on experience/educational qualifications)

Schedule: 8‑hour shift between 8 am - 6 pm (40 hrs. wk.) | Mon - Fri (5 days/wk.)

Job Responsibilities

Conduct high-volume outbound member calls (auto-dialer) to address medication non-compliance, schedule pharmacy telephonic visits, and obtain provider follow-up information

Thrive in high-volume call center environments while consistently meeting weekly and monthly productivity standards

Deliver high-quality customer service to internal teams, providers, and members

Multitask across multiple systems/applications to provide accurate, real-time information

Manage escalated inquiries across queues, fax portals, claims systems, and documentation platforms

Accurately document member and provider interactions in appropriate records and systems

Support clinical staff and leadership with administrative tasks, reports, projects, and specialized assignments

Collaborate with PCPs and clinics to support quality data collection and close care gaps

Maintain strict confidentiality, HIPAA compliance, professionalism, and adherence to organizational and departmental policies

Qualifications

1+ years of experience in a call center environment

1+ years of experience in Customer Service

Background in a Healthcare setting (Familiarity with Healthcare Terminology needed)

Benefits you may qualify for: Comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home, and pet insurance, and employee discounts with preferred vendors.

Equal Employment Opportunity Statement As a certified minority‑owned business, Pride Global and its affiliates – including Russell Tobin, Pride Health, and Pride Now – are committed to creating a diverse environment and are proud to be an equal‑opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

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