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Large managed care company looking to fill a short-term contract position.
Must have 2+ years long-term care hospital experience.
2+ years long-term care hospital experience as a Pharmacy Technician - includes experience in dealing with:- Insurance benefits authorization- Prior Authorization approvals- Adjudications issues- Coverage verification- Reimbursement issues- Claim processing - Data entry of prescriptions- Dispensing prescriptions 2+ years front office customer service experience in an organization providing superior customer service handling:-prescription orders- Answering in-bound calls from customers regarding phone orders, delivery times, non-medical questions on medications, general inquires.- Outbound calls to customers, doctor offices, third party administrators, coordinating insurance billing, verifying coverage, resolving insurance coverage issues, and obtaining prior authorization approvals. 2+ years data entry experience, i.e. entering prescriptions, insurance/payment information, updating records.
TOP FIVE RESPONSIBILITIES
Input prescription and verify appropriate information. Make outbound calls to patients, pharmacists, doctor's offices and insurance companies. Successfully resolve claim issues, coverage verification, adjudication issues, etc. in a timely manner. Process 75 prescriptions on a daily basis with 98.5% accuracy rate. Work with management to continually improve performance and customer satisfaction.
KNOWLEDGE AND SKILLS
Pharmacy General knowledge of medical terminology and abbreviations. Good mathematical skills in order to make basic calculations. Enter prescriptions - Typing 45- 50 WPM. General knowledge of all state and federal regulatory requirements, i.e. HIPAA Medicare Part D, State Board of Pharmacy.Technology
Basic knowledge of MS windows operating system. Basic to intermediate skills using MS Office applications (MS Word and MS Excel at a minimum). Experience using email systems - MS Outlook or Outlook Express preferred. Experience working with on-screen document images preferred.
Experience working with computer-based phone applications preferred. Exceptional PC skills-ability to toggle between multiple computer applications. Ability to enter prescriptions in a pharmacy software application.
Ability to communicate effectively in-person and in writing. Ability to communicate effectively on the telephone, with tact and finesse without becoming defensive, confused or upsetting the customer - excellent command of customer service etiquette skills Interpersonal Strong organizational, detail and follow-up skills in order to achieve stated goals. Ability to identify issues and resolve customer inquiries and complaints accurately and promptly. Ability to solve problems for which standards solutions may not be available; can identify problem and deter best solution. Ability to handle multiple activities and deadlines Ability to work effectively within a team environment Ability to work in an organized and calm fashion in a busy environment Ability to perform tasks or other activities with limited opportunities for deviation from approved practices and procedures. Ability to provide excellent customer service while maintaining a relatively high production rate. Ability to listen and learn new ideas and approaches. Professional ability to work overtime and flexible schedules based on business needs M-F Ability to rotate job functions Ability to sit for long periods of time, up to eight (8) hours. Ability to lift stock, up to 50lbs.Ability to work with a minimum of supervision. Ability to work in a customer driven environment
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