Job 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
• Requiring outbound calls to patients
• 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
• Enter 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
• 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
• 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.
Benefits:
• Medical, dental and 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