Support Services Specialist

Elevance Health • Doral, FL

2d • Hybrid

About The Position

Support Services Specialist Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. The ideal candidate should live near one of the following Pulsepoints: Lake Mary-FL, Tampa-FL, Miami-FL or Harvey-LA. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. Schedule: This position will work an 8-hour shift Monday through Friday within the operational hours of 8:30 am - 5:30 pm (ET). Additional hours, including weekends or holidays, may be required based on operational needs. The Support Services Specialist is responsible for performing duties to document and validate various activities, documentation, and events as they relate to the patient/pharmacy/prescriber/manufacturer requirements. How You Will Make an Impact

Requirements

• High School Diploma or GED and minimum 2 years of experience in pharmacy environment.
• Current, valid, active, and unrestricted State Pharmacy Tech. Certification or national certification based on applicable state(s) required.

Nice To Haves

• Previous experience working in specialty pharmacies is highly preferred.
• Experience in a call center environment is preferred.
• National Pharmacy Technician Certification (CPhT) is preferred.

Responsibilities

• Perform inbound and outbound calls, review and document accurate notes taken related to the calls and ensure correctness of entries made to patient file.
• Audit patient accounts as required by manufacturing or payors, review entries for accuracy, correctness, and specific criteria.
• Identify adverse events required by the manufacturers and notify the clinician ensuring all documentation requirements are met.
• Review discharge work instructions to ensure all attempts have been made to service the patient prior to discharge; attempts include but are not limited to contacting the patient and the prescriber.
• Follow up with the patients, prescribers, internal associates, and others to provide or obtain information needed.
• Support additional therapy programs as they arise which may require additional documentation and tasks.
• Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain specified level of knowledge pertaining to new developments, requirements, and policies.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees