Member Care Advocate - Pharmacy Technician

TrueScripts Management Services • Washington, IN

3d • Hybrid

About The Position

TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Our culture is reflective of this philosophy, believing that Amazing Care starts from within. The Member Care Advocate is responsible for performing all tasks relative to in-house and external communications with TrueScripts members, doctor’s offices’ and pharmacies. This position responds to member and client inquiries, assists members with appropriate prescription benefits, and problem solves any issues in our claims system. The role provides administrative support to Member Care Leadership, Client Success & Executive teams. This is an in office/remote hybrid position working Monday - Friday 8 am to 5 pm Eastern time and reports on-site to Washington, Indiana on in-office days.

Requirements

• High School Diploma, 2-year college degree in related field preferred
• Pharmacy technician or customer service call center experience preferred
• Ability to explain prescription benefit plans to members and partnered pharmacies
• Knowledge of claims processing helpful
• Analytical thinking and attention to detail
• Excellent communication and customer relations skills
• Problem solving skills
• Ability to multi-task and prioritize in an ever-changing environment
• Strong computer skills including Microsoft Office (Excel, Word, PowerPoint, Outlook)

Responsibilities

• Assist TrueScripts' members with pharmacy claims processing and plan benefits
• Receive phone calls/emails from members, clients, pharmacies and/or physician offices
• Troubleshoot claim processing problems and/or inquiries in claims adjudication system
• Respond to website inquiries
• Become proficient in all aspects of claims adjudication system
• Communicate escalated member service concerns to manager
• QA testing for client transitions/changes
• Complete pharmacy contact sheet for fax notifications
• Log Specialty Care, Brand Care, Paper Claims, and Fee for Prior Authorizations on SharePoint
• Log Specialty and Non-Specialty Prior Authorization approvals on SharePoint
• Prepare and send weekly/monthly invoices to the Accounting team
• Document actions and outcomes in the client database

Benefits

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k and company match
• Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• A cohesive, family-based culture
• Charitable contributions and volunteer time

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED