[Hiring] PAC Specialist @AnewHealth

Role Description

PAC Specialists in our Patient Engagement Center of Excellence may hold multiple duties to ensure ExactCare’s patients receive quality care out of their pharmacy services. They will work in a closed-door pharmacy environment, spending their time speaking with patients, doctors, and facilities on the phone in addition to the outlined job duties and responsibilities.

• Job duties will vary from phone work and navigating multiple internal systems to supporting the various stages of patient care/contact.
• This is a remote-based environment, allowing the PAC Specialist to provide an exceptional patient experience.
• AnewHealth provides a fast-paced, high-energy environment, allowing individuals to excel in many areas with a focus on phone-based pharmacy work.
• Individuals with Pharmacy Technician licensure will also have access to Pharmacy systems which will allow them to conduct additional job duties of a Pharmacy Technician.

Responsibilities

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

Qualifications

• High school diploma/GED.
• Pharmacy technician registration with State Board of Pharmacy is preferred.
• CPhT is preferred, but not required.
• Must be 18+ years of age.
• Prior experience in a pharmacy setting is preferred.
• Comfortable working in a phone-based environment.
• Ability to work independently.
• Self-motivated and goal-oriented.
• Ability to utilize computer equipment, technology, and work within multiple software programs to receive medication authorizations, clarifications, and/or transfers.
• Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone.
• Thorough drug knowledge.
• Pharmacy billing knowledge.
• Knowledge of appropriate processes in taking prescriptions, clarifications, and transfers including clear written and verbal communication.
• Strong prioritization and organizational skills.
• Maintain a high degree of confidentiality.
• Passion to help people and enrich their lives.
• Ability to think critically and document pertinent details in a world-class manner that is compliant with state and federal regulations.

Physicals/Mental Demands

This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed.

Schedule

This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Benefits

• Medical/dental/vision coverage effective 1st of the month following date of hire.
• Flexible spending.
• Company-paid life insurance and short-term disability.
• Voluntary benefits.
• 401(k).
• Paid Time Off and paid holidays.