Specialty HUB Advocate - Pharmacy Technician

WellDyne•Lakeland, FL

About The Position

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable. Our Vision: Unlocking the full potential of pharmacy care management to empower people to live healthier, happier lives. Our Mission: To drive pharmacy care that builds trust, improves outcomes and puts people first. Summary The Specialty Hub Advocate maintains a high level of interaction with Hub Pharmacy patients and physicians to ensure prescriptions are being filled and delivered correctly, and that the patient is taking the medication properly

Requirements

High School Diploma or equivalent
One-year related customer service experience
Required-Meet state requirements of national certification (CPhT) or other board approved training program, if required by state
Time management
Oral and written communication skills
Professionalism
Customer service skills
Ability to multitask and be detail oriented
Ability to work efficiently without creating distraction or disruption to other employees
Ability to relate well and communicate effectively with other employees and patients
Ability to work well with various personalities and work as a team
Should be independent and self-motivated
Ability to work and accomplish goals with little to no supervision
Organizational skills
Must be dependable and maintain levels of confidentiality
General knowledge of internet navigation and research
Knowledge of e-mail, fax transmission, and copy equipment are essential

Nice To Haves

Previous insurance experience and medical or pharmacy background is preferred

Responsibilities

Acts as a liaison between patients and the provider's office and fulfillment pharmacy
Responsible for ensuring all necessary information, including insurance verification, is available to process prescription orders
Assist in collecting clinical outcomes data from patients and assist in tracking the data within the software system
Responsible for explaining client programs and services to patients and provider's office staff
Communicates with provider and patient for prescription refills
Refers any medication or illness related question or concerns to a board licensed healthcare professional
Responsible for processing prescription refills through pharmacy dispensing software
Maintains documentation of calls to and from patients and providers
Contact patients to schedule deliveries, confirm address, inform of any co-payment information, and notify of payment responsibilities
Refers under/uninsured patients to appropriate patient assistance programs and assists with applications
Communicates patient status to provider's office/clinics
Maintains patient confidentiality
Demonstrate an ability to solve problems and work independently
On-boards new patients to Hub pharmacy ensuring high patient satisfaction which includes setting up correct supplies, copay assistance, and conveying patient financial responsibility
Adjudicate New and Refill prescriptions by working both Claims to adjudicate queues
Perform Rx Setup/RX Entry functions
Perform verification of benefits
Resolving issues resulting in rejected claims
Assist in managing the prior authorization process to include, but not limited to, initiating prior authorization requests, working with providers to correctly submit prior authorization requests, follow-up on status of pending prior authorization requests and more
Assist with Prior Authorization appeals
Directing patient with approved Prior Authorization to designated pharmacy for fulfillment
Assist in the renewal of prior authorization requests
Assist in the renewal of prescriptions
Assist in managing the processing time of new patient referrals and new prescription orders
Demonstrates high level of empathy when communicating with patients
Performs other duties and responsibilities as assigned