ExactCare

Onboarding Specialist

• Call on prospective patients daily and schedule them for assessments with our Onboarding Specialists
• Handle inbound calls from both patients and referral sources
• Accountable for daily and weekly goals for assessments scheduled
• Communicate effectively with patients
• Work independently and also as a key member of the entire team
• Maintaining constant contact with referral sources, Onboarding Specialists, and other internal associates
• Place scheduled assessments on the Onboarding Specialist calendar
• Document all calls, tasks and appointments in Salesforce
• Create positive first impression of AnewHealth/ExactCare and the unique services we provide
• Monitor and track daily assessments, assemble marketing materials, and conduct quality assurance calls
• Participate in daily team huddles, attend training sessions and other ad-hoc meetings as needed
• Embody AnewHealth’s Core Values in all communications and interactions
• Other duties as assigned.

Onboarding Coordinator

Pharmacist

• Ensuring clinical accuracy and execution of patient prescriptions
• Verification of hard copy and digital Rxs
• Communication with healthcare professionals, patients and technicians via phone and email
• Supervision and execution of incoming and outgoing prescription transfers
• Ensure all legal, privacy and compliance requirements are met
• Embody AnewHealth’s Core Values in all communications and interactions

Clinical Pharmacist – Start of Care

• 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
• Embody AnewHealth’s Core Values in all communications and interactions
• Other duties as assigned

Certified Pharmacy Technician – Data Support

Collections

• Serve as the subject matter expert of the collections team
• Work alongside the Collections Manager to drive and support department efficiencies
• Act as a leader and demonstrate ability to drive results
• Handle escalated calls from patients
• Create, interpret, and monitor Salesforce reports
• Call patients for payments and balances
• Establish payment plans for past due accounts
• Process Checks/SCH/CC Payments
• Set up auto payments and follow up as needed
• Review and complete cases and resolve billing questions/errors

Collections Lead

• Serve as the subject matter expert of their designated pharmacy team
• Work alongside the Pharmacy Supervisors and Managers to drive and support department efficiencies
• Lead by example and support company and department goals
• Demonstrate the ability to drive results and achieve a consistent standard of work from the team
• Provide training on department tasks to new hires, cross trainees and existing team members requiring additional support
• Help coordinate the completion of cross training through communication and scheduling with designated trainees
• Provide a high level of subject matter expertise to the department in supporting continuous improvement projects including training guides and SOP development
• Support leadership in diagnosing and improving performance of team members
• Embody AnewHealth’s Core Values in all communications and interactions
• Other duties as assigned.

Pharmacy Technician Lead – Start of Care

• Act as a subject matter expert in assigned task(s) and/or functions
• 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 patients’ behalf.
• Partner with technicians and pharmacists to ensure that new patients are successfully onboarded 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 onboarded 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.

Senior Pharmacy Technician – Start of Care

• Receives electronic prescriptions, weekly batches or refill requests and accurately and efficiently fills the prescriptions under the direction of the Pharmacist
• Performs pharmacy tasks such as handling, counting, mixing, and packaging medications
• Assists in entering minor edits to record correct dispensing quantity and manufacturer NDC used to dispense prescription order
• Performs reclamation duties
• Uses pharmacy software to check and/record data about prescriptions
• Acts as a liaison between our customers and their providers and our pharmacy
• Establishes and maintains patient profiles, including lists of medications taken by individual patients
• Uses pharmaceutical technician expertise to ensure compliance, efficiency, and quality of operations
• Participates in company quality initiatives, recognizing opportunities for improvements and reporting quality assurance issues
• Secures information in accordance with the privacy and security guidelines of the Company and applicable regulations such as HIPAA
• Provides enrollment support for new PACE enrollees
• Communicates pharmacy benefit information to network pharmacies contracted with facilities where CK PACE participants reside
• Coordinate facility discharges to assure medication reconciliation is complete and delivery to home is back in place
• Provides help desk support to network pharmacies
• Education PACE staff regarding CK and network pharmacy processes for facility participants.

Pharmacy Technician

• contacting patients in an attempt to collect outstanding balances
• processing adjustments
• establishing payment plans
• providing exceptional customer service while resolving billing issues
• maintaining accuracy, compliance, and professionalism in all interactions

Collections Specialist

• AnewHealth is one of the nation’s leading pharmacy care management companies.
• We enable better outcomes for patients and the healthcare organizations who support them.
• AnewHealth provides a suite of solutions that includes comprehensive pharmacy services.

Certified Pharmacy Technician – Engagement

Customer Support

• Answer telephone inquiries in a pleasant, professional and efficient manner assuring exceptional customer service.
• Document all incoming calls and dialogue within company software.
• Resolve client drug benefit concerns of a medical, financial, or technological nature.
• Provides enrollment support for new PACE enrollees.
• Communicates pharmacy benefit information to network pharmacies contracted with facilities where CK PACE participants reside.
• Coordinate facility discharges to assure medication reconciliation is complete and delivery to home is back in place.
• Provides help desk support to network pharmacies.
• Education PACE staff regarding CK and network pharmacy processes for facility participants.
• Makes outgoing calls to gather/confirm information necessary to process customer requests or otherwise contribute to pharmacy operations.
• Coordinates and sets up couriers to ensure timely medication delivery.
• 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.

Pharmacy Call Center Support Specialist – 9AM-5:30PM ET Sat.-Sun., 3:30PM-12AM Friday, Monday, Tuesday

• 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.
• Embody AnewHealth’s Core Values in all communications and interactions.