Job description

• Conducts in-bound and out-bound calls for program requirements including, but not limited to: medication adherence member outreach calls, reminder calls, prescription refill calls and provider follow-up calls
• Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
• Exhibits excellent phone and communication skills while providing complete and accurate information to customers.
• Receives and responds to escalated inquiries from all communication venues: e.g. task queues, portal, claim queue, department documentation platform.
• Perform review of prescription claims documentation to validate correct billing. Collect and maintain eligibility information in an appropriate and confidential manner.
• Provide support to internal staff and providers with respect to Medicare drug related issues. Request additional or supplemental information via correspondence in order to complete applications.
• Provides clerical and/or administrative support to clinical staff and managers for special studies, projects, and reports
• Adheres to assigned schedule and quality metrics.
• Completes calls/assignments and ensures census management, daily, weekly, and monthly productivity standards are met.
• Provides clerical and/or administrative support to pharmacy staff and managers for special projects and reports.
• Provides excellent customer service by serving as a resource to all internal and external customers.
• Participate in and contribute to the overall pharmacy quality improvement initiatives.
• Attends required meetings and required participation in special committees as needed.
• Performs other duties as assigned.
• Ability to work independently, with some supervision and direction from manager
• Ability to work 11am-8pm CST shifts with the possible inclusion of Saturdays in the future
• Demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, and managers
• Demonstrate a high degree of professionalism to always include both personal conduct and appearance
• Ability to always maintain strict confidentiality to include but limited to patients and coworkers
• Compliance with all organizational policies regarding ethical business practices
• Adhere to all department policies and procedures

Required Qualifications:

• High School Diploma or GED
• 2+ years of administrative support experience
• 6 months in a pharmacy/medical/healthcare setting
• Basic knowledge of Microsoft Office products, including Word and Outlook
• Medical terminology knowledge base

Preferred Qualifications:

• Certified/Registered Pharmacy Technician
• 2+ years of experience in a pharmacy setting
• Certified Medical Assistant training or certification
• 2+ years of experience in a physician’s clinic or hospital
• Bilingual language proficiency (English/Spanish)
• Call Center experience

Job Types: Full-time, Contract

Pay: $17.00 - $18.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Customer service: 2 years (Preferred)

License/Certification:

• Certified Medical Assistant (Preferred)
• Pharmacy Technician Certification (Preferred)

Work Location: One location

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