Certified Pharmacy Technician – Call Center Claims Adjudication

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🕒 Maio 21

🏈 Ohio – Remoto

🏈 Ohio – Remote

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

📞 Representante de Call Center

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ExactCare

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2009

⚕️ Seguro de Saúde

💊 Farmacêutico

💰 Private Equity Round em 2016-03

Healthcare Insurance • Pharmaceuticals

ExactCare é um provedor líder em gerenciamento de cuidados farmacêuticos que se especializa no gerenciamento de medicação para indivíduos com necessidades médicas complexas e crônicas. Com operações em todos os 50 estados e Washington, D. C. , a ExactCare apoia mais de 100. 000 pessoas em todo o país, ajudando-as a gerenciar seus medicamentos em residências assistidas, instalações de cuidados a longo prazo e em casa. Em parceria com organizações de saúde, a ExactCare visa melhorar os resultados clínicos ao garantir melhor adesão à medicação, reduzir readmissões e diminuir os custos gerais de saúde.

Descrição

• Providing an exceptional customer service experience each day in a phone-based environment • Answering a high volume of inbound calls from current patients and serve as an ExactCare expert to resolve their questions • Placing outbound calls to patients to create, maintain or update their medication profiles • Effectively assist with patient questions over the phone • 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 • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks • Collect on patient balances when patient has an amount due • Maintaining patient records with strong attention to detail and confidentiality • Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers • Accurate retrieval of all prescription information and verifying through doctor calls • Entering a high volume of data; processing prescription information with speed and accuracy • Placing welcome calls to newly onboarded patients and establish a trusted point of contact • Partner with technicians and pharmacists to ensure that new patients are successfully onboarded to ExactCare • Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base • Embodying AnewHealth’s Core Values in all communications and interactions

🎯 Requisitos

• 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 • Must be 18+ years of age • Prior experience in a pharmacy setting • Comfortable working in a phone-based environment • Ability to work independently • Self-motivated and goal oriented • 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 • Ability to utilize computer equipment, technology and work within multiple software programs to receive medication authorizations, clarifications and/or transfers • Strong prioritization and organizational skills • Maintain a high degree of confidentiality • Passion to help people and enrich their lives • Ability to overcome objections • Ability to think critically and document pertinent details in a world class manner that is compliant with state and federal regulations

🏖️ Benefícios

• Medical, dental and vision coverage effective 1st of the month following date of hire • Flexible spending • Company-paid life insurance and short-term disability • Voluntary benefits • 401(k) • Paid Time Off • Paid holidays