Mercalis

Frontend Engineer

• Accurately enter and process new and refill prescriptions in pharmacy management systems
• Contact patients and prescribers to collect missing information
• Respond to inbound calls and make outbound calls to support patient care and pharmacy services
• Report drug adverse events to internal systems and client portals
• Demonstrate discretion in handling protected health information (PHI) and maintain patient confidentiality
• Navigate pharmacy systems to confirm, document, and reconcile orders
• Ensure compliance with internal SOPs, accreditation standards, and regulatory requirements
• Maintain accurate records and documentation to support audits and operational reviews
• Work cross-functionally with pharmacists, technicians, hub personnel, and fulfillment teams
• Participate in training, quality checks, and continuous improvement initiatives
• Assist in onboarding and mentoring new technicians as appropriate

Front End Pharmacy Technician

Manager

• Educate HCPs on Patient Support Programs: Provide reactive, approved, tailored education to healthcare providers and their staff on available financial support programs for eligible patients
• Provide Reimbursement Expertise: Educate HCPs and their office support on the local payer landscape through virtual education engagements, including national and regional payer policies, prior authorization criteria including letter of medical necessity and appeals templates, quantity limits, stocking information, and appropriate access pathways and processes for payers and PBMs
• Address Access Barriers: Provide assistance to HCPs to compliantly troubleshoot claims at retail pharmacies for eligible patients who have used patient support financial assistance offerings
• Stay informed on national and regional payer policies: Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies and regulations (e.g., Commercial, Medicare, and Medicaid”
• Work and compliantly with field team representatives to receive engagement requests and communicate outcome of interactions
• Role models ethics and integrity in the work that you do to support a culture of compliance and earn trust with external stakeholders
• Communicate access concerns and issues with appropriate internal stakeholders
• Operate in Compliance with HIPAA within program guidelines
• On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
• Ensures compliant use of approved materials, resources and talking points only
• Ensure all SOPs and BRDs are followed with consistency
• Conducts miscellaneous tasks or projects assigned

Field Reimbursement Manager

• Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team
• Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies
• Educate HCP and Office Staff on Patient Support Programs
• Guide healthcare providers through the prior authorization and appeals process
• The FRM will manage daily activities that support appropriate patient access to client’s products
• Coordinate with client’s patient support services programs representatives on patient cases and claim issues
• Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products
• Lead sales training related to product reimbursement