Director, IT Engineering
EZCORP
Pharmacy Help Desk Specialist
ExactCare
full-time
Posted on:
Location Type: Remote
Location: Remote • New Jersey • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- 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
Requirements
- High School Diploma or equivalent required
- Associate’s degree preferred
- 1 year of customer service/member service experience in a call center or similar, required
- Health care industry experience, a plus
- CPhT (Certified Pharmacy Technician) certification, a plus
- Experience in a pharmacy support role, a plus
- Knowledge of plan and benefit structures and Medicare guidelines, a plus
Benefits
- medical/dental/vision
- flexible spending
- company-paid life insurance and short-term disability
- voluntary benefits
- 401(k)
- Paid Time Off
- paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims adjudication softwareprior authorization requestsmanual claims processingreportingresearching rejected claims
Soft skills
customer servicecommunicationproblem-solvingprofessionalismefficiency
Certifications
CPhT (Certified Pharmacy Technician)
