Stanford Health Care Tri-Valley · 1 month ago
Specialty Pharmacy Service Representative
2465 Faber - PALO ALTO
Full-time
Hybrid
Entry Level
$31.30/hr - $35.25/hr
1+ years expStanford Health Care Tri-Valley is committed to providing exceptional healthcare services. The Specialty Pharmacy Service Representative serves as a key point of contact for patients, supporting them with prescription management, insurance inquiries, and medication adherence.
Health CareHospitalNon Profit
Responsibilities
Answer patient calls: Address questions about prescriptions, refills, insurance information, and other related topics
Medication Management: Ensure patients remain on track with medication regimen-outbound therapy/medication adherence checkups; secures refill prescriptions. Contacts clients to schedule deliveries, confirm address, inform them of any financial responsibility
Troubleshooting and resolving issues: Assisting with claim rejections, verifying insurance information, and helping with program eligibility
Data entry and record-keeping: Updating patient information, documenting calls, and maintaining records
Escalating complex issues: Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate
Providing customer service: Communicates with clients as needed regarding the fulfillment of prescription refills and refers any health-related concerns to a healthcare professional when required
Following company procedures: Adhering to established protocols and guidelines for handling calls and resolving issues
Maintaining confidentiality: Ensuring the privacy and security of patient information
Performs other duties and responsibilities as assigned
Qualification
Required
High school diploma or general education degree (GED)
One year minimum call center experience, or other related experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
Experience in insurance, medical, or pharmacy environments is required
Ability to adapt to and deal with change and ambiguity
Ability to plan, organize, prioritize, work independently and meet deadlines
Ability to solve problems and identify solutions
Ability to speak and write effectively at a level appropriate for the job
Ability to work effectively with individuals at all levels of the organization
Ability to work in a fast-paced work environment
Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility
Knowledge of Medical terminology and abbreviations; and disease states
Strong interpersonal communication skills
Knowledge of computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Knowledge of Microsoft Outlook and Word
Knowledge of inflammatory diseases, infectious disease, and/or oncology
Company
Stanford Health Care Tri-Valley
STANFORD HEALTH CARE TRI-VALLEY Stanford Health Care Tri-Valley (formerly ValleyCare) provides high-quality care rooted in science and compassion to support the health and well-being of its community in the East Bay and beyond.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Reena Jadhav
Board Member, Chair Comp & Workforce
Company data provided by crunchbase