
501 - 1000 employees
Founded 2009
⚕️ Healthcare Insurance
💊 Pharmaceuticals
💰 Private Equity Round on 2016-03
Healthcare Insurance • Pharmaceuticals
ExactCare is a leading pharmacy care management provider that specializes in medication management for individuals with complex, chronic medical needs. With operations in all 50 states and Washington, D. C. , ExactCare supports more than 100,000 people nationwide, helping them manage their medications in assisted living, long-term care facilities, and at home. Partnering with healthcare organizations, ExactCare aims to improve clinical outcomes by ensuring better medication adherence, reducing readmissions, and lowering overall healthcare costs.
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501 - 1000 employees
Founded 2009
⚕️ Healthcare Insurance
💊 Pharmaceuticals
💰 Private Equity Round on 2016-03
Healthcare Insurance • Pharmaceuticals
ExactCare is a leading pharmacy care management provider that specializes in medication management for individuals with complex, chronic medical needs. With operations in all 50 states and Washington, D. C. , ExactCare supports more than 100,000 people nationwide, helping them manage their medications in assisted living, long-term care facilities, and at home. Partnering with healthcare organizations, ExactCare aims to improve clinical outcomes by ensuring better medication adherence, reducing readmissions, and lowering overall healthcare costs.
• 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.
• 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+ 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 to receive medication authorizations, clarifications and/or transfers. • 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 world class manner that is compliant with state and federal regulations.
• Medical, dental and vision coverage are 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 and paid holidays.
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