Summary: Maintains a high level of interaction with Specialty Pharmacy patients and Physicians making sure the prescriptions are being filled, delivered correctly and taken correctly by performing the following duties.
High school diploma or general education degree (GED); one year related customer service experience. Previous insurance experience and medical or pharmacy background is helpful.
Certificates and Licenses:
Duties and Responsibilities include the following. Other duties may be assigned.
Acts as liaison between company, patients, and Physician’s office.*
Responsible for accepting new prescriptions and making sure all necessary information including insurance verification is available to process orders.*
Explains all company programs and services to patients and physician’s office staff.*
Communicates with patients as needed based on prescription refills and refers any medication or illness related questions or concerns to a board licensed healthcare profession including but not limited to: nurses, pharmacists, or supervised pharmacy interns.*
Responsible for processing of prescriptions and prescription refills through pharmacy dispensing software.*
Maintains documentation of calls to and from patients.*
Contacts patients to schedule deliveries, confirm address, inform of any co-payment involved and notify of payment responsibilities.*
Assists with prior authorizations.*
Refers under/uninsured patients to appropriate patient assistance programs and helps with applications.*
Keeps current with new treatment trends.*
Communicates patient status to physician’s offices/clinics.*
Maintains patient confidentiality.*
Performs other duties and responsibilities as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
To perform this job successfully, an individual should have knowledge of Microsoft Products.
Knowledge, Skills and Other Abilities:
- Time management
- Oral and written communication skills
- Knowledgeable of all areas of the pharmacy industry, medical billing, or medical background is preferred.
- Customer service skills
- Ability to multi-task and be detail oriented
- Ability to works efficiently without creating distraction or disruption to other employees
- Ability to relate well and communicate effectively with other employees and patients
- Ability to work well with various personalities and work as a team
- Should be independent and self-motivated
- Ability to work and accomplish goals with little to no supervision
- Organizational skills
- Must be dependable and maintain levels of confidentiality
- General knowledge of internet navigation and research
- Knowledge of e-mail, fax transmission, and copy equipment are essential
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk; sit and use hands. The employee is occasionally required to stand.