Be an early applicantLess than 25 applicants

Company

Ametros · 1 day ago

Rx Specialist

United States

Full-time

Remote

Entry Level

2+ years exp

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Insurance

Growth Opportunities

Hiring Manager

Brandon Brunell, SHRM-TA

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Responsibilities

Responsible for answering inbound calls and assisting members with pharmacy related services

Contacting members to obtain any required pharmacy related information

Monitor and resolve all pharmacy rejected claims within the established turnaround times and in compliance with Medicare and regulatory requirements

Follow-up on authorization requests in a timely fashion

Contact members to obtain necessary approval on rejected pharmacy claims

Contact PBM as needed to resolve any complex pharmacy issues

Document all communication, upload appropriate documents to internal database, and document clear concise notes in our database to ensure accounts are up to date

Proactively identify issues, and work toward resolution

Act in compliance with security and HIPAA policies and procedures

Other duties as assigned

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Pharmacy experiencePrescription terminologyAuthorization practicesHealthcare information systemsMicrosoft applicationsCustomer service skillsPharmacy technician certificationPharmacy retail experience

Required

2+ years’ experience in a pharmacy setting. Ideally a call center pharmacy setting.

Experience with prescription terminology and authorization practices

Weekend availability required for occasional (1-2 per month) Saturday/Sunday coverage rotation

Experience with computer systems required, including some Microsoft application which may include Outlook, Work, Excel, PowerPoint or Access

Proficient with prescription terminology and authorization practices

Knowledge of healthcare information systems, Rx products and pharmacy services

Previous experience in pharmacy retail, medical, or customer service setting

Telephone etiquette

Excellent customer service skills

Preferred

National Certification from an accredited pharmacy technician certification program a plus!

Previous experience as a Pharmacy technician?

Company

Ametros

Ametros is changing the way individuals navigate healthcare by providing them with the tools and support necessary to make savvy decisions on how to spend their medical funds.

Founded in 2010

Wilmington, MA

51-200 employees