Key skills
Communication
About this role
Role Overview
- Act as a subject matter expert in assigned task(s) and/or functions
- Providing an exceptional customer service experience each day in a phone-based environment
- Enter a high volume of data; processing prescription information with speed and accuracy
- Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers
- Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks
- Requiring outbound calls to patients
- Working through current case queues to problem-solve for patient care issues
- Serving as a liaison between the clinical pharmacists and other medical professionals on patients’ behalf
- Partner with technicians and pharmacists to ensure that new patients are successfully onboarded to ExactCare
- Maintaining patient records with strong attention to detail and confidentiality
- Accurate retrieval of all prescription information and verifying through doctor calls
- Placing welcome calls to newly onboarded patients and establish a trusted point of contact
- Placing outbound calls to patients to create, maintain or update their medication profiles
- Serve as backup support for times of higher patient call volume
- Effectively assist with patient questions over the phone
- Performing in a high volume, fast-paced environment to support ExactCare’s nationwide patient base
- Embody AnewHealth’s Core Values in all communications and interactions
- Other duties as assigned
Requirements
- High school diploma/GED
- Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate
- Must maintain a pharmacy technician registration with State Board of Pharmacy
- At least 2-3 years of prior experience in a pharmacy setting
- Comfortable working in a phone-based environment
- Ability to work independently
- Self-motivated and goal oriented
- Ability to utilize computer equipment, technology and work within multiple software programs
- Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone
- Thorough drug knowledge
- Pharmacy billing knowledge
- Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication
- Strong prioritization and organizational skills
- Maintain a high degree of confidentiality
- Passion to help people and enrich their lives
- Ability to think critically and document pertinent details in a compliant manner
Benefits
- Medical/dental/vision coverage effective 1st of the month following date of hire
- Flexible spending
- Company-paid life insurance
- Short-term disability
- Voluntary benefits
- 401(k)
- Paid Time Off
- Paid holidays