MD Call Specialist

2 weeks ago

Ohio City, Ohio, United States AnewHealth Full time
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

MD Call Specialists 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 MD Call Specialist 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.
  • Other tasks as required.
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.
  • Ability to exhibit ExactCare Pharmacy's Core Values in daily work.
Requirements
  • Must be 18+ years of age
  • High school diploma/GED
  • Prior experience in a pharmacy setting is preferred
  • Pharmacy technician registration with State Board of Pharmacy is preferred
  • CPhT is preferred, but not required
  • Ability to perform in an office based (or remote) setting that requires sitting at a desk 90% of the time
  • Ability to work 9am until 5:30pm EST Monday through Friday
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.

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