AnewHealth · 20 hours ago
MD Call Specialist
Franklin County, OH
Full-time
Hybrid
New Grad, Entry LevelAnewHealth 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-based interactions, manage prescription information, and serve as a liaison between patients and healthcare professionals.
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
Embody AnewHealth’s Core Values in all communications and interactions
Other duties as assigned
Qualification
Required
High school diploma/GED
Must be 18+ years of age
Comfortable working in a phone based environment
Ability to work independently
Self-motivated and goal oriented
Ability to utilize computer equipment, technology and work within multiple software programs to receive medication authorizations, clarifications and/or transfers
Exceptional customer service skills; servicing doctor's office, pharmacist, and patient needs over the phone
Thorough drug knowledge
Pharmacy billing knowledge
Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication
Strong prioritization and organizational skills
Maintain a high degree of confidentiality
Passion to help people and enrich their lives
Ability to think critically and document pertinent details in a world class manner that is compliant with state and federal regulations
Ability to exhibit ExactCare Pharmacy's Core Values in daily work
Preferred
Pharmacy technician registration with State Board of Pharmacy
CPhT is preferred, but not required
Prior experience in a pharmacy setting
Benefits
Medical/dental/vision
Flexible spending
Company-paid life insurance
Short-term disability
Voluntary benefits
401(k)
Paid Time Off
Paid holidays
Company
AnewHealth
AnewHealth is a pharmacy care that enhances healthcare outcomes by offering an assortment of solutions, comprising full pharmacy services.
Founded in 2023
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Vistria Group
2024-07-22Private Equity
Leadership Team
Brian Adams
President and CEO
Celynda Tadlock
President, Value-Based Care Solutions
Recent News
2025-12-02
Company data provided by crunchbase