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AnewHealth · 2 days ago

MD Call Specialist

Hamilton County, OH

Full-time

Hybrid

New Grad, Entry Level

AnewHealth is one of the nation’s leading pharmacy care management companies specializing in caring for people with complex chronic needs. The MD Call Specialist will ensure patients receive quality care through phone interactions with patients, doctors, and facilities, while handling various responsibilities related to patient care and pharmacy services.

Health CarePharmaceutical

Responsibilities

Providing an exceptional customer service experience each day in a phone based environment

Enter a high volume of data; processing prescription information with speed and accuracy

Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers

Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks. Requiring outbound calls to patients

Working through current case queues to problem solve for patient care issues

Serving as a liaison between the clinical pharmacists and other medical professionals on patient’s behalf

Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to ExactCare

Maintaining patient records with strong attention to detail and confidentiality

Accurate retrieval of all prescription information and verifying through doctor calls

Placing welcome calls to newly on-boarded patients and establish a trusted point of contact

Placing outbound calls to patients to create, maintain or update their medication profiles

Serve as backup support for times of higher patient call volume

Effectively assist with patient questions over the phone

Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base

Other tasks as required

Qualification

Pharmacy billing knowledgeThorough drug knowledgePatient care experienceMultiple software proficiencyExceptional customer serviceOrganizational skillsCritical thinkingConfidentialitySelf-motivatedGoal oriented