The incumbent is responsible for executing program requirements, managing daily workflow, providing accurate and complete data input, managing pre-certifications and providing high levels of customer service.
Rotating shifts during the weekdays between the hours of 8:30AM to 8:00PM.
Job Scope and Major Responsibilities:
Complete prescription intake process including verification of insurance coverage
Assist physician’s offices through the prior authorization and appeals process
Research financial assistance options for patients through copay cards, foundations, and assistance programs
Coordinate prescription processing and delivery with dispensing pharmacies
Manage and triage high volume of customer service phone calls while managing day to day operations
Build relationships with physicians, manufacturer sales representatives, pharmacies, patients, and other team members to optimize workflow and achieve program goals
Ensure proper documentation of process flow from prescription initiation through completion
Provide timely updates to physicians, pharmacies, and manufacturers regarding prescription status
Interface with IT department to improve system functionality and workflow
Attend team meetings to support ongoing program development
Other responsibilities as assigned
Success in this position is defined by high levels of customer service and timely processing of prescriptions through all phases
Compliance with the provisions of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations, as amended (“HIPAA”)
Performance in this role is measured by accurate and timely routing of referrals and reporting as well as high levels of customer service.
Certified Pharmacy Technician (must be registered with the State of New Jersey Board of Pharmacy as a Pharmacy Technician)
Minimum of 2 years pharmacy experience preferred
Previous work experience in a call center environment or customer service role preferred
General knowledge of pharmacy laws, practices and procedures
Knowledge of common medical terms/abbreviations and pharmacy calculations
Understanding of insurance and third-party billing systems
Skill to prioritize and work in a fast-paced environment
Exemplary communication, organization, and time management skills
Capability of working independently and as a member of a team
Ability to preserve confidentiality of protected health information (PHI)
Proficient in MS Word, Excel and Outlook
Possess and maintain professional demeanor and courteous attitude
Asembia is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, gender identity and expression, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State/Federal laws.