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Certified Pharmacy Technician - Billing

其他限定地区(需当地身份)
公司ExactCare Pharmacy, LLC
薪资未公开
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间15 天前
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

AnewHealth是全国领先的药房护理管理公司,专注于为有最复杂、慢性需求的患者提供照护——无论他们身在何处。我们帮助患者和为其提供支持的医疗保健机构实现更好的结果。2023年,ExactCare与Tabula Rasa HealthCare合并成立,我们提供一系列解决方案,包括全面的药房服务;全服务药房福利管理;以及针对老年人全方位照护计划的专业支持服务。我们拥有超过1400名团队成员,在全美50个州为超过10万人提供服务。

职位详情

我们在卓越患者护理中心的药房技术员可能需要承担多项职责,以确保ExactCare的患者从我们的药房服务中获得高质量的护理。他们将在封闭式药房环境中工作,除了列出的职位职责和任务外,还需要通过电话与患者、医生和医疗机构沟通。

工作职责包括电话工作和操作多个药房软件系统,以及支持患者护理/联系的各个阶段。这些职责范围会根据组织需求而变化,使药房技术员能够发展多种技能。

这是一个办公室(或远程)的独立办公环境,让药房技术员能够为患者提供出色的体验。ExactCare药房提供快节奏、高能量的工作环境,让药房技术员在以电话为基础的药房工作中发挥多方面的能力。

职责

  • 在电话环境中每天提供卓越的客户服务体验。
  • 输入大量数据;快速准确地处理处方信息。
  • 运用扎实的药物知识,有效接收处方授权、澄清或转方。
  • 执行理赔审核和审计职责,如事先授权、计费和资格检查。需要拨打外线电话给患者。
  • 处理当前案件队列,解决患者护理问题。
  • 作为临床药师和其他医疗专业人员之间的联络人,代表患者进行沟通。
  • 与技术员和药师合作,确保新患者顺利加入ExactCare。
  • 维护患者记录,注重细节和保密性。
  • 准确检索所有
查看英文原文

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.
Job Details

Pharmacy Technicians in our Patient Care Center of Excellence may hold multiple duties to ensure ExactCare’s patients receive quality care out of their pharmacy services. They will work in a closed-door pharmacy environment, spending their time speaking with patients, doctors and facilities on the phone in addition to the outline job duties and responsibilities.

Job duties will vary from phone work and navigating multiple pharmacy software systems to supporting the various stages of patient care/contact. These areas of responsibility will fluctuate based on organizational needs, allowing the Pharmacy Technician to develop multiple skillsets.

This is an office (or remote) based, cubicle environment, allowing the Pharmacy Technician to provide an exceptional patient experience. ExactCare Pharmacy provides a fast-paced, high energy environment, allowing Pharmacy Technicians to excel in many areas with a focus on phone based pharmacy work.

Responsibilities

  • Providing an exceptional customer service experience each day in a phone based environment.
  • Enter a high volume of data; processing prescription information with speed and accuracy.
  • Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
  • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks. Requiring outbound calls to patients.
  • Working through current case queues to problem solve for patient care issues.
  • Serving as a liaison between the clinical pharmacists and other medical professionals on patient’s behalf.
  • Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to ExactCare.
  • Maintaining patient records with strong attention to detail and confidentiality.
  • Accurate retrieval of all prescription information and verifying through doctor calls.
  • Placing welcome calls to newly on-boarded patients and establish a trusted point of contact.
  • Placing outbound calls to patients to create, maintain or update their medication profiles.
  • Serve as backup support for times of higher patient call volume.
  • Effectively assist with patient questions over the phone.
  • Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base.
  • Embody AnewHealth’s Core Values in all communications and interactions.
  • Other duties as assigned.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

  • High school diploma/GED
  • Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate
  • Must maintain a pharmacy technician registration with State Board of Pharmacy

Experience

  • Must be 18+ years of age
  • Prior experience in a pharmacy setting
  • Ability to perform in an office based (or remote) setting that requires sitting at a desk 90% of the time

Skills & Abilities

  • Comfortable working in a phone-based environment.
  • Ability to work independently.
  • Self-motivated and goal oriented.
  • Ability to utilize computer equipment, technology and work within multiple software programs to receive medication authorizations, clarifications and/or transfers.
  • Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone.
  • Thorough drug knowledge.
  • Pharmacy billing knowledge.
  • Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication.
  • Strong prioritization and organizational skills.
  • Maintain a high degree of confidentiality.
  • Passion to help people and enrich their lives.
  • Ability to think critically and document pertinent details in a world class manner that is compliant with state and federal regulations.

Physicals/Mental Demands: This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed.

Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Travel: Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements.
This is a remote position.
AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
Originally posted on Himalayas

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