Certified Pharmacy Technician – Call Center Claims Adjudication

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🕒 il y a 27 jours

🏈 Ohio – Distant

🏈 Ohio – Remote

⏰ Temps Plein

🟠 Senior

🔴 Expert

📞 Téléconseiller

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ExactCare

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2009

⚕️ Assurance santé

💊 Pharmaceutique

💰 Private Equity Round en 2016-03

Healthcare Insurance • Pharmaceuticals

ExactCare est un leader en gestion de soins pharmaceutiques, spécialisé dans la gestion des médicaments pour les personnes ayant des besoins médicaux complexes et chroniques. Avec des opérations dans les 50 états et à Washington, D. C. , ExactCare soutient plus de 100 000 personnes à l'échelle nationale, les aidant à gérer leurs médicaments en résidences assistées, en établissements de soins de longue durée et à domicile. En partenariat avec des organisations de soins de santé, ExactCare vise à améliorer les résultats cliniques en garantissant une meilleure adhésion aux médicaments, en réduisant les réadmissions et en diminuant les coûts globaux de santé.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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