Pharmacy Technician Patient Account Representative

Profile

Description

The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

Summary:

Responsible for the ongoing coordination of all client care, delivery of ongoing therapies, and communication with case managing agencies. Other responsibilities include initial intake of client referrals, and coordination with billing department, for all insurances.

Essential Duties and Responsibilities:

Technical Skills


Proficient in current technology system(s) to perform the following tasks: Enter patient admissions, change an active patient to discharge/deceased status, transfer patients, update demographic changes, process refills, and documentation as needed.
Proficient in the prescription entry process.
Proficient in Third Party Rejection processing (e.g., Coverage Determination, PA's, Med Syncing).
Ongoing maintenance of all established clients.
Coordinates with pharmacy delivery of medication and supplies in a timely manner.
Coordinates communication related to client admissions, discharges and changes in status.
Performs intake of initial client referrals including collection of client demographic information, medical information, therapy information and insurance/financial information and documentation on the Referral Form.
Supports in prescription fulfillment process


Effective Triage & Problem-Solving Skills


Triage incoming calls generated by patients or providers and forward higher complexity and clinical-based concerns to the MTM Pharmacist.
Proactively notify patients and providers of delay in medication arrival (e.g., out of stock, FedEx delay).
Assist in obtaining refill requests from providers on behalf of the patient.
Assign and schedule consultations via appointment scheduler and refill reminders.
Assist with faxing provider consultations which have been completed.
Follow up on patient/provider outreaches to determine and document outcomes.
Provide suggestions for system enhancements and to improve process and productivity.
Ability to respond to high volume inbound calls in a timely and effective manner.
Other duties as assigned.


Quantity of Work


Produces quantity of work that is above the documented average.


Professional Interaction


Provide superior customer service to our AtHome partners.
Demonstrates excellent verbal and written communication with fellow staff, patients, and healthcare team members.
Demonstrate a caring, ethical and professional behavior when interacting with peers, clients, patients, and caregivers.


Qualifications:


Excellent verbal and written communication skills.
Self-motivated.
Organized: Ability to manage multiple priorities.
Team player.
Problem-solving skills and ability to follow through on tasks assigned.
Possession of unquestionable personal and professional ethics, in concert with the standards of Enclara Pharmacia.
Adaptable to change in systems and practice environment.


Education and/or Experience:


High school diploma or equivalent
Customer service experience
Recent pharmacy technician experience
Preferred :
Call center experience
Community pharmacy experience where MTM was offered


Computer Skills:


Proficient in general Microsoft office
General Windows-based computer skills
Strong typing skills with a minimum of 20 wpm


Certificates, Licenses, Registrations:

Active pharmacy technician license in good standing in New York

Preferred : Pharmacy Technician Certification Board (PTCB) Certification

Scheduled Weekly Hours

40

Company info

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