Pharmacy Technician jobs in United States
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AMPS · 2 days ago

Pharmacy Technician

AMPS is a company that provides market-leading healthcare cost containment services. They are seeking a Pharmacy Customer Service Advocate to assist members, providers, and pharmacies with inquiries regarding eligibility, claim status, and coverage questions while maintaining confidentiality and compliance with service standards.

Insurance

Responsibilities

Maintain HIPAA/PHI guidelines to ensure the confidentiality of all calls and documents
Interpret plan documents/plan guidelines
Determine eligibility by reviewing, researching, and analyzing information in the appropriate system
Use critical thinking and reasoning to manage workload with above average level
Maintain and enter information into systems as information is received
Forward all records to the appropriate parties
Record and respond to calls/emails/faxes from Member, Providers, and Pharmacies
Maintain high level of knowledge to answer specific Pharmacy Plan Benefit information or sharing guideline related questions
Review issues as they arise
Serve as a role model in demonstrating core values of customer service
Provide timely and thorough responses to internal and external customers
Escalate difficult issues to the appropriate party
Provide exceptional customer service for incoming/outgoing calls
Propose process improvements to enhance customer service satisfaction
Ensure compliance with service standards
Develop and execute plans to meet established goals
Provide continuous feedback to strengthen and optimize quality performance
Work cross-departmentally to improve or streamline procedures
Maintain up to date knowledge on industry trends and look for new data sources
Develop or improve current internal processes to improve overall quality
Accurate and complete documentation of all daily interactions
Special projects as assigned

Qualification

PBM ExperienceHealth Insurance KnowledgeCustomer Service SkillsPharmacy Tech ExperienceAnalytical SkillsProblem-Solving SkillsBilingualMulti-taskingMedical Terminology KnowledgePrior Authorization ExperienceCommunication SkillsDecision-Making Abilities

Required

High school diploma or equivalent required
PBM Experience
Minimum 2 years customer service or claims experience in the Health Insurance Industry
Must have experience in handling multi-line telecommunication systems and electronic documentation software
Knowledge of medical/pharmaceutical terminology required
Health Insurance/Eligibility and Benefit knowledge required

Preferred

Preferred experience in Call Center Customer Service
Preferred experience in Pharmacy Tech
Prior authorization experience preferred
Bilingual a plus

Company

AMPS

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Advanced Medical Pricing Solutions (AMPS) is a diversified healthcare technology company supporting transparent, affordable medical and prescription benefits through proprietary software as a service (SaaS) products and tech-enabled services offered across the healthcare payer and employer markets.

Funding

Current Stage
Growth Stage

Leadership Team

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Matt Brow
Chief Executive Officer and Board Member
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Jonathan Jeffress
Chief Operating Officer at Advanced Medical Pricing Solutions (AMPS)
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Company data provided by crunchbase