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)
Schedule: 10:00am - 7:00pm CST Mon-Friday and possible Saturday hours.
* If asked to work a Saturday than it would be OT.