As a Pharmacy Technician II, you will use your advanced knowledge working in a pharmacy to prepare and submit third-party insurance claims using our custom-built pharmacy management system. Additional responsibilities will include troubleshooting complex cases. You'll also deliver extraordinary customer service while handling patient escalations via phone, text, chat, and email. Employment is conditional upon having an active PTCB certification.
Accelerate your career as you:
Troubleshoot prescription issues by calling insurance companies, doctors offices, and patients
Work closely with doctors offices to manage refill requests, prior authorizations, and coverage determinations - In office position; Contract to Hire
Responsibilities
Research and correct any claim discrepancies for assigned partner offices.
Directly address all insurance denials received. (within 3 business days or less)
Communicate directly with partner offices to request any additional information needed for claim payment.
File secondary claims as needed with supporting documentation.
Insurance aging report roll up for all partner offices.
Registration and maintenance of online portals for Insurance companies.
Follow up and resolve all communication requests. (responses within 48 hours or less)
Ensure personal achievement of productivity standards and performance metrics as directed by supervisor.
Complete other projects as assigned. 3-5 Must Have Skills/Qualifications
Certified Pharmacy Technician License
2-3 Years of Customer service experience Nice to Have Skills
Insurance billing experience
Specialty experience (Fertility, Endo/Cardio, Pulm, Long-term care etc.) Soft Skill/Attribute Requirements
Ability to learn and operate a new pharmacy management system and other relevant equipment
Excellent customer service skills
Ability to interpret, transcribe, and troubleshoot prescription information
Exceptional knowledge of commercial and government insurance and how to troubleshoot claims Schedule:
4x10 (4 day work week, 10 hour shifts)
Sun-Mon, Wed-Thu 9:00-7:30 5x8
Sun-Thursday 9:30 6:00
Tues-Sat. 9:00 5:30
Attire: Business Casual
Please apply online, and I commit to responding with 72 hours.
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