If you are passionate about healthcare and supporting patients with their healthcare needs, empathetic, patient focused and enjoys interacting with patients, patient representatives, providers, pharmacies and more, then this may be the position for you. Did we mention this was a remote, work from home position?
Responsibilities:Some of what you will be doing:
- Receive and respond to prescription refill requests through various communication channels, including phone, email, fax, and Telephone Encounter.
- Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines.
- Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
- Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information.
- Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends.
- Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing.
- Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs.
- Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes.
- Minimum of High School Diploma or GED
- 1 \- 3 years experience in a retail pharmacy (preferred)
- Extensive knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules (preferred)
- Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
- Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies (preferred)
- Preferred Education, Experience \& Skills Bilingual, National Certification, (preferred)
How to thrive when working at home:
Safety
o Choose a consistent work area/office
o Make your area physically safe
o Stay organized
o Personalize your desk!
Security
o Privacy matters
o Keep it quiet \- remember, we are dealing with patients!
o Protect your computer
Support
o Communicate
o We coach and focus on your performance
o Quality matters
Success
o Get ready for work!
o Prepare yourself mentally
o Use your resources
o On your break, get outside once in a while
Qualifications:We want you to be successful, so these are some of the qualifications required:
Note: Completion of assessments may be required before an applicant can move forward. Completing assessments must be done independently. Any discovery of unauthorized completion, whether during or after the hiring process, will result in disqualification or termination.