Posted in: Customer Service/Call Centre in California | Posted: |
In accordance with state and federal regulations, performs data entry and patient registration. Responsible for resolution of third party rejects and responding to high volume customer inquiries, working under direct supervision. Follows standard operating procedures and performs duties in accordance with Company policies and procedures. Responsible for using pharmacy systems to obtain patient and drug information. Duties may vary based on assigned department..
* Using prescription data entry procedures and guidelines, processes new patient registration by entering data into appropriate system. Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing. Troubleshoots to obtain missing prescription information, and interprets medical abbreviations (SIG codes). Resolves all data entry related exceptions.
* Handles correspondence to patients (inbound calls, chats, emails) and makes outbound calls to prescribers and patients as needed.
* Resolves Third Party Rejects by reviewing, gathering information, making corrections and resubmitting for processing according to individual plan requirements. Makes telephone calls to insurers and others to obtain information, gain override approval or otherwise resolve the Third Party Rejects.
* Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate.
* Must obtain active technician license or certification within the first 90 days, and maintain an active technician license or certification.
* 18 years of age or older
* High School Diploma or GED.
* Basic level PC skills (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
* Basic Search Engines skills to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online.
* Intermediate level keyboarding skills (at least 25 WPM, touch typing, formatting documents).
* Communicate effectively in writing and verbally.
* At least 1 year of pharmacy technician experience in a retail or call center environment.
* Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
* Required certification/registration as a Pharmacy Technician by state as granted by the state Board of Pharmacy or nationally recognized certification agency.
* Intermediate to advanced level keyboarding skills (at least 35 WPM, touch typing, formatting documents).