About The Position

AnewHealth is a leading pharmacy care management company specializing in caring for individuals with complex, chronic needs. They provide comprehensive pharmacy services, pharmacy benefit management, and specialized support for the Program of All-Inclusive Care for the Elderly. With over 1,400 team members, they serve more than 100,000 people across all 50 states. Pharmacy Technicians in the Patient Care Center of Excellence play a crucial role in ensuring patients receive quality pharmacy services. They operate in a call center environment, interacting with patients, doctors, and facilities via phone. Responsibilities include handling inbound and outbound calls, navigating pharmacy software, and supporting various stages of patient care. The role offers opportunities to develop multiple skillsets due to fluctuating organizational needs. This is an office-based (or remote) position within a cubicle environment, focused on delivering an exceptional phone-based patient experience in a fast-paced, high-energy setting.

Requirements

  • Must be 18+ years of age
  • High school diploma /GED
  • Prior experience in a pharmacy setting
  • Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate
  • Must maintain a pharmacy technician registration with State Board of Pharmacy
  • Ability to perform in an office based (or remote) setting that requires sitting at a desk 90% of the time

Nice To Haves

  • Comfortable working in a phone based environment.
  • Ability to work independently
  • Self-motivated and goal oriented
  • 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.
  • Ability to utilize computer equipment, technology and work within multiple software programs to receive medication authorizations, clarifications and/or transfers.
  • Strong prioritization and organizational skills.
  • Maintain a high degree of confidentiality.
  • Passion to help people and enrich their lives.
  • Ability to overcome objections
  • 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.

Responsibilities

  • Providing an exceptional customer service experience each day in a phone based environment.
  • Answering a high volume of inbound calls from current patients and serve as an ExactCare expert to resolve their questions.
  • Placing outbound calls to patients to create, maintain or update their medication profiles.
  • Effectively assist with patient questions over the phone.
  • 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.
  • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks.
  • Requiring outbound calls to patients
  • Collect on patient balances when patient has an amount due
  • Maintaining patient records with strong attention to detail and confidentiality.
  • Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
  • Accurate retrieval of all prescription information and verifying through doctor calls.
  • Enter a high volume of data; processing prescription information with speed and accuracy.
  • Placing welcome calls to newly on-boarded patients and establish a trusted point of contact.
  • Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to ExactCare.
  • Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base.
  • Other tasks as required.

Benefits

  • medical/dental/vision
  • flexible spending
  • company-paid life insurance
  • short-term disability
  • voluntary benefits
  • 401(k)
  • Paid Time Off
  • paid holidays
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