ExactCare

IT Support

• 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

Pharmacy Help Desk Specialist