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A national medication management and long-term pharmacy provider for people with complex, chronic needs
Pharmacy Claims Help Desk Specialist
Location
New Jersey
Posted
106 days ago
Salary
0
Seniority
Junior
Job Description
Pharmacy Claims Help Desk Specialist
ExactCare
• Answer telephone inquiries in a pleasant, professional and efficient manner assuring exceptional customer service • Document all incoming calls and dialogue in the claims adjudication software • Educate clients on plan policies, benefits and procedures • Resolve client drug benefit concerns of a medical, financial, or technological nature • Initiate and facilitate prior authorization requests • Stay current on plan and benefit structures, pharmacological updates, and Medicare Part D guidelines • Participate in on-call rotation • Accept other duties as assigned; including but not limited to: direct member reimbursement, processing, manual claims, reporting and researching rejected claims • Attend department and company meetings and educational programs upon request • Ensures that HIPAA guidelines are followed in every communication with clients • Interest in learning new tasks for development purposes • Embody AnewHealth’s Core Values in all communications and interactions
Job Requirements
- Associate’s degree preferred
- High School Diploma or equivalent required
- CPhT (Certified Pharmacy Technician) certification, a plus
- 1 year of customer service/member service experience in a call center or similar, required
- Health care industry experience, a plus
- Experience in a pharmacy support role, a plus
- Knowledge of plan and benefit structures and Medicare guidelines, a plus
- Knowledge of pharmacology and pharmacological terms
- Excellent communication skills and professionalism when working with clients
- Ability to solve problems under pressure by making immediate decisions while on the phone
- Detail oriented and able to prioritize workload
- Strong computer skills including using word processors, spreadsheets, and database software
Benefits
- Health insurance
- 401(k)
- Paid Time Off
- Paid holidays
- Flexible spending
- Company-paid life insurance
- Short-term disability
- Voluntary benefits
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