Claims Data Entry
Conduent
Data Entry Technician
ExactCare
full-time
Posted on:
Location Type: Remote
Location: Remote • Ohio • 🇺🇸 United States
Visit company websiteJob Level
SeniorLead
About the role
- Providing an exceptional customer service experience each day in a phone based environment.
- Enter a high volume of data; processing prescription information with speed and accuracy.
- Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
- Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks.
- Requiring outbound calls to patients.
- Working through current case queues to problem solve for patient care issues.
- Serving as a liaison between the clinical pharmacists and other medical professionals on patient’s behalf.
- Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to ExactCare.
- Maintaining patient records with strong attention to detail and confidentiality.
- Accurate retrieval of all prescription information and verifying through doctor calls.
- Placing welcome calls to newly on-boarded patients and establish a trusted point of contact.
- Placing outbound calls to patients to create, maintain or update their medication profiles.
- Serve as backup support for times of higher patient call volume.
- Effectively assist with patient questions over the phone.
- Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base.
- Other tasks as required.
Requirements
- Must be 18+ years of age
- High school diploma/GED
- Prior experience in a pharmacy setting
- Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate
- Must maintain a pharmacy technician registration with State Board of Pharmacy
- Ability to perform in an office based (or remote) setting that requires sitting at a desk 90% of the time
- Ability to work 11:00am to 7:30pm Monday through Friday
Benefits
- medical/dental/vision
- flexible spending
- company-paid life insurance
- 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
data entryclaim adjudicationauditingprescription processingbillingeligibility checkspatient record maintenancemedication profile managementproblem solvingdrug knowledge
Soft skills
customer serviceattention to detailcommunicationliaisonteam collaborationtrust buildingadaptabilitytime managementconfidentialityinterpersonal skills
Certifications
Pharmacy Technician Certification Board (PTCB)National Health Association (NHA)pharmacy technician registration
