Associate Pharmacy Care Technician

4 weeks ago

san antonio, United States Optum Full time
p>$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. p>The Associate Pharmacy Care Technician will make outbound calls to members and physicians to improve medication adherence and other pharmacy related quality metrics.  Responsible for gathering prescription refill orders and providing excellent customer service as well as determining the eligibility of members applying for the Medical Assistance Program.

Hours:   Monday – Friday, 9am – 6pm + rotating Saturdays every 4 weeks (Training will be for the first 4 weeks and will be Monday – Friday, 8am – 5pm) Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers.  li>Documents the provider or member's record with accurate information obtained on the call Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to the overall pharmacy quality improvement initiatives Collects and maintains eligibility information in an appropriate and confidential manner Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly Exhibits excellent phone and communication skills while providing complete and accurate information to members Requests additional or supplemental information via correspondence in order to complete applications Adheres to assigned schedule and quality metrics Follows all policy and procedures for the Medical Assistance Program Ability to use fine motor skills to operate office equipment and/or machinery Ability to receive and comprehend instructions verbally and/or in writing

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Active and unrestricted Pharmacy Technician license in the state of Texas

National Pharmacy Technician Certification (Certified Pharmacy Technician CPhT) 1+ years of experience in a pharmacy setting Basic level of proficiency with Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules  Basic level of proficiency with HIPAA Privacy and Security Rules and CMS security requirements Basic level of proficiency with writing skills and ability to produce work free from typographical or spelling errors Basic level of proficiency with Microsoft Office, Internet and e-mail including the ability to produce work free from typos Bilingual (any language) Advanced knowledge of NCPDP and other types of prescription drug claims is required Knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies Previous retail pharmacy experience **PLEASE NOTE** The sign-on bonus is only available to external candidates.  Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace.

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