Role Description
The Patient Engagement Specialist will be responsible for providing service for inbound pharmacy phone calls and/or placing outbound patient refill calls and assisting the patient through the entire refill process. This role will be responsible for some or all of the below types of activities:
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Responding to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy.
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Inbound calls to support the health systems needs in patient.
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Status checks on prescriptions.
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Assists pharmacies to properly adjudicate electronic prescription drug claims and resolve adjudication error messages.
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Providing knowledgeable and courteous customer assistance and response to members, providers, and pharmacy team member inquiries.
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Serving as a point of contact between patients, pharmacy, liaisons, clinical providers, and various internal functional areas.
Qualifications
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1-3 years of Pharmacy Technician and adjudicating claims experience strongly preferred but not required.
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Managing refills, specialty pharmacy, working with clinical care teams, and working remotely.
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High school diploma or GED required.
Requirements
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State registered as a pharmacy technician.
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Nationally certified as a CPhT or equivalent is strongly preferred but not required.
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If the candidate's state of residence does not have a state registration available, then the National certification is required at time of hire.
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Continued employment is contingent upon meeting these requirements.
Benefits
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Flexible scheduling to meet business needs with health system partners starting as early as 7:45 AM (EST)/ 8am EST.
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Energetic, highly motivated, team player with strong personal and communication skills.
Skills
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Strong interpersonal communication skills.
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Exceptional phone skills.
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Comfortable with proactively engaging patients telephonically.
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Highly proficient in Microsoft Office particularly Excel and Word.
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Able to quickly learn other programs and adapt to Shieldsβ unique model/tools.
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Strong organizational skills.
Traits
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Organized, high-integrity, high accountability.
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Attention to detail, dependable, quality focus.
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Empathetic, good listener/communicator, collaborative.
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Consistently arrives to work on-time with minimal unscheduled time off.
Minimum Remote Role Expectations
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Remote role requires to be sitting at desk with two company required monitors.
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Must have high speed, stable, and reliable internet connection.
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Must be willing to work overtime to support week to week fluctuations in patient care management.
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Must have a distraction-free work environment.
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Ability to have camera on for most meetings with co-workers or leaders.