Representative

• Support patients and prescriber offices through inbound calls related to insurance coverage, patient access, reimbursement support, and referral status
• Review and confirm patient demographic, insurance, and referral information
• Explain insurance benefits, copays, coinsurance, deductibles, and other financial responsibilities
• Help patients understand copay assistance, manufacturer assistance, and other financial support options
• Identify therapy-delay barriers and coordinate next steps toward resolution
• Provide updates on referral status, access requirements, and actions needed for timely patient care
• Manage escalated patient or prescriber concerns
• Meet quality, productivity, and phone queue expectations while creating a positive caller experience

Eligibility Senior Representative supporting specialty pharmacy patient access for Evernorth Health Services

Senior Eligibility Representative

Eligibility Senior Representative answering coverage and referral questions for Evernorth’s specialty pharmacy services. Explaining benefits, financial responsibility, and assistance options to support timely patient therapy.

• Provide efficient and timely technical assistance to assigned customers in matters relating to their packaging equipment operations and facilitate customer quality and packaging performance improvement
• Service customer equipment, where applicable, to maintain optimum performance of equipment, packaging films and shrink bag materials
• Perform and complete package/shrink bag and machine audits on packaging machines
• Identify machinery and packaging film/shrink bag problems and ensure that they are properly communicated to the appropriate staff representatives
• Participate in field trials of new packaging materials
• Assist in the installation and start-up of all packaging equipment manufactured and sold by Amcor and provide input into the design, installation and start-up of packaging equipment manufactured by outside suppliers
• Train customers on proper operation and maintenance of equipment and Amcor film, as well as training other Amcor Technical Service Reps on how to train the customer

Technical Service Representative providing customer support for packaging equipment operations

Technical Service Representative

Technical Service Representative providing technical assistance and training on packaging equipment operations. Role involves significant domestic travel within Northeastern US, primarily focused around Boston area.

• In-person and virtual coverage for field sales vacancies
• Use sales techniques to achieve positive results with healthcare professionals
• Verify and complete required data entry of interactions
• Manage daily sales call activity to achieve sales objectives
• Listen and respond to customer questions and needs

Sales Representative for AbbVie in Psychiatry covering field sales and healthcare relationship building

Specialty Representative, Psychiatry

Sales Representative for AbbVie in Psychiatry, covering field sales and building relationships with healthcare practices. Requires a strong communication focus and coordination with healthcare professionals for sales objectives.

• Responsible for reviewing, analyzing, and processing non-complex pre and post service grievances and appeals requests
• Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s)
• Routes summaries and information to nursing and/or medical staff for review
• Serves as a liaison between grievances & appeals and/or medical management, legal, and/or service operations and other internal departments

Reviews and processes appeals requests for healthcare services

SCA Appeals Representative I

Responsible for reviewing and processing healthcare grievances and appeals requests. Ensuring compliance with external and internal policies while delivering optimal service to members and providers.

• Supports new loan process (appraisal process, credit/property/UCC reports, doc prep requests, KYC, post-close follow up)
• Maintains credit/documentation/collateral files, processes change requests
• Works with Treasury Management and branches for new account opening
• Monitors daily NSFs and overdrafts
• Types, copies, files, schedules, mails, orders supplies
• Obtains all loan and deposit documentation, reviews monthly reports
• Prepares management reports for sales meetings
• Provides professional customer service by offering timely attention

Commercial Relationship Representative supporting loan and deposit administration

Commercial Relationship Representative

Commercial Relationship Representative assisting with loan and deposit administration for F.N.B. Corporation. Provide support to portfolio managers and relationship managers in various tasks and customer service responsibilities.

• Advise Project Owner on all aspects of commercial construction projects from concept to completion.
• Ensure compliance with environmental regulations and permits throughout the construction process, including environmental impact assessments and mitigation measures.
• Monitor all project schedules, provide early feedback on performance and risk to those schedules, and support timely completion of all project milestones.
• Identify potential risks and develop mitigation strategies to better position the project for success.
• Monitor the Contractor’s quality control measures to ensure construction activities meet industry standards and Owner expectations.
• Serve as a key conduit of information exchange between all on-site stakeholders, providing regular updates on project progress and addressing any concerns that may arise.
• Observe and influence the activities of construction teams, subcontractors, and support staff on behalf of the Owner, fostering a collaborative and safety-focused work environment.
• Consult to ensure compliance with safety regulations and best practices and recommend corrective actions to maintain a safe work environment for all personnel.
• Maintain accurate project documentation, including contracts, permits, change orders, and progress reports, and provide regular reporting to stakeholders.

Construction Manager serving as Owner's Representative for large-scale projects

Owner's Representative

Construction Manager serving as Owner's Representative in remote environments. Overseeing construction management responsibilities and ensuring alignment with Owner's vision and objectives.

• Service multiple customer locations
• Receive and stock purchased product in designated customer locations, ensure product stocking levels by scanning for ordering purposes as inventory is depleted
• Resolve customer problems promptly to retain and promote customer loyalty
• Follow designated route defined by routing software tools and maintain route guides
• Identify continuous improvement opportunities in productivity, process, and cycle time
• Comply with safety and inspection requirements of the facility where the service is being provided
• Help create new orders by engaging with customers to identify additional product needs
• Probes for customer needs during each site visit and works with sales partners to expand Grainger offerings

On-Site Service Representative supporting inventory management for Grainger

On-Site Service Representative, Part Time

On-Site Service Representative supporting customers by managing inventory and driving account growth. Collaborating within the Grainger team to meet MRO needs of assigned customers.

• Execute client transactions efficiently and accurately, maintaining a high standard of service by demonstrating expertise in client processing.
• Resolve client inquiries and issues promptly, ensuring client satisfaction and adherence to BNY's service standards.
• Collaborate with internal teams to ensure seamless transaction processing, fostering a culture of teamwork and continuous improvement.
• Analyze transaction data to identify trends and opportunities for process optimization, contributing to operational excellence.
• Maintain up-to-date knowledge of industry regulations and BNY policies to ensure compliance in all client interactions.
• Support initiatives aimed at enhancing the client experience, aligning with BNY's focus on innovation and client trust.

Specialist in client transaction processing for BNY Investment Operations team

Client Processing Representative

Specialist, Client Processing Representative managing transactions and ensuring accuracy for BNY Investment Operations. Collaborating with teams to enhance client experience and operational excellence.

• Apply expertise and judgment in providing quality and complex client service and support to internal and external clients daily.
• Perform complex operational tasks in a product or functional area.
• Serve as the primary point of contact for clients, executing all correspondent requisites accurately and promptly.
• Maintain correspondent accounts in compliance with applicable regulations and policies.
• Identify, investigate, and resolve problems in client accounts or company records.
• Provide product knowledge and technical assistance, escalating complex issues as appropriate.
• Review and check work of other Client Processing Support staff, assist in resolving escalated issues.

Client Processing Representative driving quality client service at BNY Wealth

Specialist, Client Processing Representative managing client transactions and ensuring compliance. Located in Pittsburgh, PA, enhancing client satisfaction and maintaining accurate records.

• This position owns product traceability and spare parts inventory control within the Service Depot
• Responsibilities include executing all APRISO and SAP transactions related to product receipt, movement, repair status, and shipment to ensure 100% system accuracy and regulatory compliance
• The role also maintains spare parts inventory levels, initiates replenishment orders, performs cycle counts, and ensures alignment between physical inventory and system records to prevent operational disruption
• This role also includes regular customer-facing responsibilities, requiring strong communication skills and a professional demeanor when interacting with internal and external stakeholders to support Service Depot operations and ensure a high level of customer service
• Create and manage service orders within SAP and/or APRISO to support the LVP Service Depot process, ensuring accuracy and full traceability
• Generate and analyze system reports to monitor product status and workflow progression throughout the service process
• Execute SAP transactions to accurately move products through required service stages and out of the Service Depot in accordance with established procedures
• Prepare and distribute daily, weekly, and monthly SAP reports to support operational visibility and performance tracking
• Manage and maintain appropriate spare parts inventory levels to support Service Depot operations, including monitoring stock levels, initiating replenishment orders, and ensuring system and physical inventory alignment
• Coordinate and communicate with cross-functional departments to ensure alignment and effective information flow between the Service Depot and internal/external stakeholders
• Maintain and control LVP Refurbish and Loaner pool inventory, ensuring availability, accurate tracking, and proper system documentation
• Perform additional administrative duties and support special projects as assigned

Technical Service Representative managing product traceability and inventory control

Technical Service Representative managing product traceability and spare parts inventory at Service Depot. Executing SAP transactions and ensuring regulatory compliance in a customer-facing role.

• Responsible for onboarding of new accounts, activations, and quality control of all new merchant accounts.
• Reviewing daily assignment queue for account onboarding.
• Reviewing application, pricing, and approval parameters to ensure record completion.
• Keying and synching account data as required to ensure onboarding is accurately completed promptly.
• Communicate with partners and staff members as needed in cases where additional information may be needed.
• Data entry as required for completing corrections, action items and additional step request items.
• Data sensitive maintenance requests.
• Account updates.
• Department related projects and assignments.
• Departmental communication for efficiently managing workload.
• Attending required department meetings and training.
• Supporting specialized projects on an as-needed basis as directed by Department or Company leadership.
• Other duties as assigned.

Boarding Representative II responsible for onboarding merchant accounts remotely

Boarding Representative II

Boarding Representative II responsible for onboarding merchant accounts for Maverick Payments. Handling account activations and quality control from a remote setting.

• Serve as a primary contact for incoming DME referrals, providing clear information on pricing, order status, timelines, and qualification requirements
• Advance referrals from intake to readiness by reviewing documentation, identifying gaps, and securing required clinical or insurance information
• Verify insurance eligibility and financial responsibility using internal systems, payer portals, and outreach to ensure accurate patient records
• Create and maintain complete patient accounts, including demographics, documentation uploads, and authorization details
• Coordinate intake workflows across calls, emails, faxes, and hospital portals to support timely order progression
• Apply Medicare and same-or-similar guidelines to promote accurate and compliant processing
• Monitor referral status within hospital and facility systems and communicate updates or next steps
• Post payments accurately and support clean, well-maintained account balances
• Partner with teammates to balance workload and support continuous improvement

Intake Care Representative supporting DME referrals and patient care

Intake Care Representative

Intake Care Representative managing DME referrals for Evernorth's CarepathRx. Collaborating for efficient patient care and information accuracy, remotely across multiple states.

• Execute brand strategy and tactics in the field, sales performance
• Manage assigned territory and targeted accounts
• Build strong customer relationships and customer needs solving capability
• Deliver sales performance, brand KPIs, financial targets, marketing objectives
• Create pre-call plan using SMART objectives and execute post-call evaluation
• Handle objections, misunderstandings, concerns effectively
• Aspire to serve customer needs, expectations, and challenges
• Develop and execute a call plan that achieves set call metrics

Specialty Representative for Hepatology focusing on sales performance and customer relations

Specialty Representative, Hepatology

Specialty Representative for Hepatology focusing on sales performance and managing customer accounts. Delivering brand strategies while ensuring compliance with regulations and best practices.

• Manage telephone, electronic, and face-to-face interactions professionally and efficiently
• Present and discuss the products and services accurately to customers
• Focus on customer retention through first call resolution of concerns
• Maintain positive relationships with customers and take responsibility for their needs
• Support sales representatives by conducting educational meetings when business needs permit
• Complete ongoing training to stay updated on products and policies
• Recognize and alert supervisors of trends in customer calls

Member Services Representative handling customer inquiries at Capital Blue Cross

Member Services Representative

Member Services Representative handling customer inquiries through various channels. Engaging with members and providers to enhance their experience at Capital Blue Cross.

• Execute brand strategy and tactics in field, sales performance
• Effectively manage assigned territory and targeted accounts
• Build strong customer relationships and customer needs solving capability
• Maximize short and long term sales performance placing the patient into the center of any efforts
• Deliver sales performance, brand KPIs, financial targets, marketing objectives
• Create pre-call plan objectives and execute post-call evaluation to continuously improve sales performance
• Effectively handle objections, misunderstandings, concerns and consistently gain logical and reasonable calls to action to close on every sales call
• Proactively and continuously aspire to serve customer needs, customer expectations and challenges to build trusted customer relationships and to achieve win-win agreements between AbbVie and customers
• Develop and execute a call plan that achieves set call metrics and optimizes coverage and frequency to key customers to maximize access and sales opportunities
• Continuously build understanding on customer needs and expectations, territory market landscape, competitors, market segments/dynamics, accounts, disease, product, clinical and sales expertise and share this market intelligence information with in-field team, brand team and sales manager

Specialty Representative for Psychiatry driving sales in neuroscience region

Specialty Representative for Psychiatry at AbbVie maximizing sales in neuroscience. Building customer relationships and executing brand strategies within assigned territory.

• Make outbound calls to hospitals and healthcare clinics across the U.S.
• Conduct brief surveys focused on after-hours and emergency response protocols
• Ask approximately 3 standardized questions per call
• Accurately document responses during each call using provided systems
• Maintain a professional and courteous demeanor with healthcare staff
• Follow call scripts and guidelines to ensure consistency and compliance
• Handle a high volume of calls while maintaining quality standards
• Protect confidential information and adhere to company policies
• Communicate any issues or escalations to supervisors as needed
• Meet performance and attendance expectations in a remote work environment

Healthcare Survey Agents conducting outbound calls for brief surveys

Outbound Survey Representative

Healthcare Survey Agents conducting outbound calls to hospitals for brief surveys. Requires strong communication skills and professionalism in a remote work environment.

• Handles scheduling related requests for patients and families utilizing an automated call distribution software and protocols to efficiently and accurately schedule appointments.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Schedule patient appointments and register patient across the Jefferson Health System in accordance with established clinical and insurance requirements to improve access and care coordination.
• Utilize Electronic Medical Record (EMR) to complete scheduling and registration, confirm appointments, obtain and/or verify demographic information, obtain and/or verify insurance benefit eligibility, answer inquiries and resolve user issues in accordance with established protocols.

Central Scheduler coordinating appointments for Jefferson Health services

Central Scheduling Representative – Virtual Check In/Out

Central Scheduler coordinating patient appointments for Jefferson Health with a focus on service excellence. Utilizing EMR and telephony software for efficient scheduling and registration processes.

• Handle client customer service and technical support product related inquiries via phone, chat, and email in multiple languages
• Ask probing questions and use critical thinking to determine next steps with empathy and patience
• Clearly document the caller’s inquiry, troubleshooting steps taken and resolution/next steps (including routing to the proper queue)
• Follow proper and professional escalation procedures

Lead Development Representative providing remote support for payroll services

Lead Development Representative – Spanish

Lead Development Representative supporting payroll inquiries remotely. Utilizing customer service skills in a fast-paced environment with a focus on client details.

• Utilize various platforms to respond to inquiries from customers.
• Applies a working knowledge of ERIE and department policies and procedures to have business appropriate conversations, while directing the customer to the appropriate business decision.
• Resolves issues within scope of authority, escalates to appropriate area/person of authority as determined by company/department policy and procedure.
• In accordance with ERIE policy and procedures, and within scope of authority manages and services office account books of business.
• Applies proficient knowledge of ERIE systems and products by responding to callers concerns for all lines of business.
• Works independently to process more complex loss reports and claims within scope of authority and guidelines provided.
• Provides claims services, including but not limited to repair options, rental reservations, property mitigation and towing.
• Acts as first point of contact for the escalation of calls, complaints, or complex problems.
• Handles additional tasks including, but not limited to social media monitoring / responses and variety of queue work.
• Settles claims within scope of authority.
• Provides department Employees with assistance in servicing customers.
• Attends appropriate training and informational meetings to learn and maintain a working knowledge of ERIE policies, procedures, and processing systems, as well as industry knowledge and applicable licensure.
• Trains and mentors less experienced staff and acts as subject matter expert (SME) for department and projects, as applicable.

First Notice of Loss Representative handling customer inquiries at Erie Insurance

First Notice of Loss Representative II

First Notice of Loss Representative at Erie Insurance assisting customers with inquiries and complaints. Requires contact center experience and knowledge of customer service practices.

• Answer incoming emergency and non-emergency calls, following protocols to determine priorities and dispatch responses accordingly.
• Provide compassionate customer support using scripted and non-scripted responses.
• Monitor a high volume of medical alerts and alarms, offering genuine care during potentially stressful situations.
• Record call details, dispatches, and messages into a database in real-time while maintaining focus and accuracy.
• Communicate with empathy, respect, and patience to ensure a positive experience for our members.
• Verify and update customer information in the system to ensure records are accurate.
• Troubleshoot alarm systems and report issues to ensure timely maintenance.
• Proactively inquire about and recommend preventative healthcare services to members.
• Manage access to highly sensitive materials and maintain strict confidentiality.
• Talk and type simultaneously while navigating multiple screens and systems efficiently.
• Successfully complete new hire training and pass all required compliance testing.
• Perform other duties as assigned.

Care Center Representative assisting with medical alerts and providing support

Care Center Representative – 2ND SHIFT ONLY

Care Center Representative responding to emergency and non-emergency calls, assisting members with medical alerts. Ensuring proper dispatch and providing compassionate customer support in a remote setting.

Representative jobs in Pennsylvania

See all jobs on JobTailor

Senior Eligibility Representative

Technical Service Representative

Specialty Representative, Psychiatry

SCA Appeals Representative I

Commercial Relationship Representative

Owner's Representative

On-Site Service Representative, Part Time

Client Processing Representative

Client Processing Representative

Technical Service Representative

Boarding Representative II

Intake Care Representative

Specialty Representative, Hepatology

Member Services Representative

Specialty Representative, Psychiatry

Outbound Survey Representative

Central Scheduling Representative – Virtual Check In/Out

Lead Development Representative – Spanish

First Notice of Loss Representative II

Care Center Representative – 2ND SHIFT ONLY