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Certified Medical Assistant, Bilingual Healthcare Professional

2 months ago


San Francisco, California, United States Carenet Health Full time
Job Title: Prescription Refill Coordinator

Carenet Health, a leading healthcare services provider, is seeking a skilled Prescription Refill Coordinator to join our team of dedicated professionals.

About Carenet Health

Carenet Health is a pioneer in healthcare innovation, delivering exceptional patient experiences and improving outcomes. Our mission is to make healthcare better for all, combining best-in-class clinical expertise with personalized and automated solutions.

Key Responsibilities:
  • Respond to prescription refill requests through multiple communication channels, utilizing bilingual Spanish skills to ensure clear and effective communication.
  • Verify the validity and accuracy of prescription refill requests, ensuring compliance with regulatory guidelines.
  • Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
  • Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information.
  • Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends.
  • Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing.
  • Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs.
  • Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes.
Requirements:
  • Minimum of High School Diploma or GED
  • Minimum of 1 year experience in a retail pharmacy
  • Extensive knowledge of Medicare Part D, particularly pharmacy record review, claims, billing, and reimbursement rules
  • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
  • Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
Preferred Qualifications:
  • Bilingual, National Certification
  • Proficient Bilingual Language Skills (Spanish and English)
  • Basic PC and keyboarding skills
  • Ability to handle multiple tasks and priorities
  • Working knowledge of Microsoft Office, Internet, and data analysis tools
Benefits:
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment