Pharmacy Care Coordinator

Primary Responsibilities:

• Conducts in-bound and out-bound calls for program requirements including, but not limited to medication adherence member outreach calls, reminder calls, prescription refill calls and provider follow-up calls in a call center environment
• Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
• Exhibits excellent phone and communication skills while providing complete and accurate information to customers
• Receives and responds to escalated inquiries from all communication venues: e.g., task queues, portal, claim queue, department documentation platform
• Perform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential manner
• Provide support to internal staff and providers with respect to Medicare drug related issues; request additional or supplemental information via correspondence to complete applications
• Provides clerical and/or administrative support to clinical staff and managers for special studies, projects, and reports
• Adheres to assigned schedule and quality metrics
• Completes calls/assignments and ensures census management, daily, weekly, and monthly productivity standards are met
• Provides clerical and/or administrative support to pharmacy staff and managers for special projects and reports
• Provides excellent customer service by serving as a resource to all internal and external customers
• Participate in and contribute to the overall pharmacy quality improvement initiatives
• Ability to always maintain strict confidentiality to include but limited to patients and coworker

Required Qualifications:

• High School Diploma / GED (or higher)
• Experience in a pharmacy, medical and/or healthcare setting
• Call center experience
• Experience with medical terminology
• Basic level of proficiency with Microsoft Office products, including Word and Outlook

Preferred Qualifications:

• Certified and/or Registered Pharmacy Technician
• 2+ years of experience in a pharmacy setting
• Certified Medical Assistant (training or certification)
• 2+ years of experience in a physician's clinic or hospital
• Bilingual language proficiency (English/Spanish)