Prescription Benefit Representative

TrueScripts Management Services • Washington, IN

1d

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. The Prescription Benefit Representative supports TrueScripts' members in accessing the lowest cost medications through programs. This position is responsible for coordinating the administrative process associated with seeking lowest cost opportunities, communicating with members and healthcare providers, maintaining accurate documentation, and ensuring applications and follow-up activities are completed timely and accurately.

Requirements

• Proficient in Microsoft Office Suite.
• Strong written and verbal communication skills.
• Ability to work with confidential and sensitive information.
• Understanding of plan benefits

Nice To Haves

• Bachelor’s degree in business, pharmacy, insurance, or equivalent experience.
• Experience in a pharmacy, specialty pharmacy, or insurance benefits related setting preferred.
• Pharmacy Technician experience is helpful.

Responsibilities

• Work with members to identify lowest cost medications right for them.
• Conduct outreach to members to gather required information needed to get their medications at lowest cost.
• Communicate with physician offices, pharmacies, to help get members the right medications.
• Maintain accurate and timely documentation within applicable systems and workflows.
• Monitor cost containment program queues and ensure tasks are completed within established timeframes.
• Complete refill or renewal outreach as required by individual cost containment programs.
• Prepare and maintain reports and metrics related to cost containment program activity.
• Perform administrative duties including faxing, mailing, scanning, data entry, documentation, and other outreach activities.
• Protect member privacy and maintain confidentiality of all members and patient information.
• Work collaboratively with Clinical team members to identify opportunities to assist members with medication affordability.
• Provide a high level of service and compassion when working with members who may be experiencing financial or medication-access challenges.
• Identify opportunities to improve patient assistance processes, workflows, and the member experience.
• Perform other duties as assigned by the Clinical Director.

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
• ESOP (Employee Stock Ownership Plan)
• Employee Assistance Program
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• Dream Manager Program
• Charitable contributions and volunteer time

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree