PAC Specialist

AnewHealth•OH - Remote, OH

1d•Remote

About The Position

PAC Specialists work in AnewHealth’s Patient Engagement Center of Excellence, supporting patients who receive pharmacy services. The role is based in a closed-door pharmacy environment and involves phone communication with patients, doctors, and facilities, as well as navigating internal systems and supporting multiple stages of patient care and contact. Duties may vary according to organizational needs, providing opportunities to develop multiple skillsets. The position is remote and fast-paced, with a focus on phone-based pharmacy work. Employees with Pharmacy Technician licensure may also access pharmacy systems to perform additional Pharmacy Technician duties.

Requirements

High school diploma or GED.
Must be at least 18 years of age.
Comfort working in a phone-based environment.
Ability to work independently.
Self-motivated and goal-oriented.
Ability to use computer equipment, technology, and multiple software programs to receive medication authorizations, clarifications, and transfers.
Exceptional customer service skills, including meeting the needs of doctors’ offices, pharmacists, and patients over the phone.
Thorough drug knowledge.
Pharmacy billing knowledge.
Knowledge of appropriate processes for taking prescriptions, clarifications, and transfers, with clear written and verbal communication.
Strong prioritization and organizational skills.
Ability to maintain a high degree of confidentiality.
Critical-thinking ability and skill in documenting pertinent details in compliance with state and federal regulations.
Ability to meet the physical demands of hearing, seeing, sitting, standing, talking, and walking.
Must be able to commute to multiple site locations within the assigned territory.
Must be available to work extended hours as needed and outside normal business hours on an ad hoc basis to meet customer expectations.

Nice To Haves

Pharmacy technician registration with a State Board of Pharmacy.
Certified Pharmacy Technician (CPhT) credential.
Prior experience in a pharmacy setting.

Responsibilities

Provide an exceptional customer service experience in a phone-based environment.
Enter high volumes of data and process prescription information accurately and efficiently.
Use drug knowledge to receive prescription authorizations, clarifications, and transfers.
Perform claim adjudication and auditing duties, including prior authorizations, billing, and eligibility checks, with outbound calls to patients as needed.
Work through case queues to resolve patient care issues.
Serve as a liaison between clinical pharmacists and other medical professionals on patients’ behalf.
Partner with technicians and pharmacists to onboard new patients successfully.
Maintain patient records with attention to detail and confidentiality.
Retrieve prescription information accurately and verify it through calls to doctors.
Place welcome calls to newly onboarded patients and establish a trusted point of contact.
Make outbound calls to create, maintain, or update patient medication profiles.
Provide backup support during periods of higher patient call volume.
Assist patients with questions over the phone.
Work in a high-volume, fast-paced environment supporting a nationwide patient base.
Embody AnewHealth’s Core Values in communications and interactions.
Perform other duties as assigned.