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Pharmacy Service Representative
Location:
Cadillac, MI
Description:
The Pharmacy Service Representative will support ARORx pharmacy services' clients and members by maximizing savings to clients and members on their high-cost prescription drugs. DUTIES Assist the Pharmacy Services Manager in gathering the necessary information regarding new/existing accounts and updating information and policies in agency management system. Maintain awareness of new developments or changes with the various pharmacy benefit managers (PBM) and new Federal/State laws that may affect how our clients must administer their prescription programs and communicate this information to clients and team members. Research and manage the application of prescription patient assistance programs whether provided by the manufacturer, charitable institutions, government or other available benefits for all specialty and high-cost prescriptions with the goal of removing all cost from client plans and member responsibility. This process is meant to actively manage the process between the program, physician, patient and any other entity involved in providing data to ensure application is approved timely. Research and manage the availability of copay card programs to maximize savings to client plans and member responsibility, managing copay structure in PBM claim systems and communicating with pharmacies to manage the fill process. Enroll appropriate members into the international mail order program, working directly with international pharmacy, tracking enrollments in agency management system, and fielding calls and emails pertaining to this program. Review daily claims and reject files, identifying any rejected claims requiring attention and claims eligible for international program Utilize various PBM claims systems to troubleshoot claims issues and place appropriate overrides. Attend and complete any training sessions or assignments as required. Perform other tasks as needed Qualification Fluent in Spanish a must Pacific or Mountain Time Zones Preferred At least one of the following: College degree 2 years of experience in Employee Benefit Insurance or Pharmacy Benefits Pharmacy Technician License a plus but not required Strong customer service skills Proactive approach to learning Product knowledge Strong organizational skills, high attention to detail, responsive and self-motivate Must have drive, empathy, energy and integrity with the ability to influence and motivate others. Team player and task-orientation Good communication skills and courteous telephone skill Positive Attitude
Company:
44north
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Pharmacy Service Representative
Pharmacy Service Representative is a Customer Service Service Coordinator Job at 44north located in Cadillac MI. Find other listings like Pharmacy Service Representative by searching Oodle for Customer Service Service Coordinator Jobs.
Pharmacy Service Representative is a Customer Service Service Coordinator Job at 44north located in Cadillac MI. Find other listings like Pharmacy Service Representative by searching Oodle for Customer Service Service Coordinator Jobs.