Pharmacy Customer Service Representative 6-month initial contract position M-F 8.5hr shift between 7am-7pm CST (new hires start with later shift but must be flexible)/ mandatory OT based on volume Training and role is 100% onsite $20/HR with benefits available at cost. North Chicago, IL, 60064 Orion Group is hiring a Pharmacy Customer Service Representative to work for our multinational pharmaceutical manufacturing client located in North Chicago.
The Pharmacy Customer Service Representative Purpose:
This position is responsible for providing inbound and outbound call support and best in class customer service to patients, physicians and physician's office staff, who utilize Pharmacy Solutions for benefit investigation and prescription procurement services. This role will also be responsible for securing patient's financial responsibility for their medications and assuring appropriate education materials are provided to the patient as requested. This position uses the core pharmacy system to manage their workload, perform their duties, and route work to other members of the Pharmacy Solutions operations in order to complete the benefit verification and prescription approval process.
Pharmacy Customer Service Representative Responsibilities:
Provide subject matter expertise of product coverage, insurance benefit coverage, company sponsored co-pay cards and alternative forms of coverage for supported products. Assists patients with treatment compliance by scheduling and entering medication orders into the pharmacy information system. Enter patient demographic, health insurance, specific clinical/financial information, and prescription information into the pharmacy information system and notify the physician of any incomplete or incorrect prescription information; captures and updates patient Medical Profiles including medications, allergies, and medical conditions. Assist the pharmacist in the practice of pharmacy in accordance with federal, state, and local regulations, HIPAA guidelines, and corporate and departmental policies and procedures. Meet performance standards in alignment with predefined metrics. Contact patients to inform them of benefits and estimated out of pocket expense. Identifies potential Adverse Event situations for reporting to Pharmacovigilance ensuring AbbVie meets FDA regulations. Completes all required training perform all functions in the position e.g., Soft Skills certification, product and disease overviews. Maintain current pharmacy technician licensure and CE requirements as necessary.
Pharmacy Customer Service Representative Qualifications:
Diploma or GED required. Associate or College Degree Preferred. Individuals must meet applicable Pharmacy Technician licensure and certification requirements at employment start date in accordance and compliance with the Illinois Pharmacy Practice Act. Previous experience in a call center environment, healthcare office, corporate setting, or healthcare insurance provider or pharmacy is highly desirable. Previous experience as a pharmacy technician, especially in a specialty pharmacy or mail-order pharmacy setting, is desirable. Understanding and knowledge of commercial and major medical insurance programs, billing requirements, healthcare benefit investigation processes, prior authorization and appeal filings. Must have accuracy, attention to detail, and fluency in the use of computers. Must have organization and problem-solving skills to handle patient conversations identify issues and address needs. Must be proficient with Microsoft Office Program Suite and Lotus Notes Suite including Excel, Word, Outlook and SharePoint. Must have knowledge of private payers, pharmacy benefits, medical benefits, Medicare Part D, Medicaid and alternate funding resources. Ability to maintain professional communication skills and an understanding of how to maintain a courteous attitude toward customers and fellow employees.
Job Types:
Contract, Full-time Pay:
$20.00 per hour
Benefits:
401(k) matching Dental insurance Health insurance Vision insurance
Education:
High school or equivalent (Required)
Experience:
Pharmacy technician experience: 1 year (Preferred) Call center: 1 year (Preferred) medical insurance programs: 1 year (Preferred)
Lotus Notes Suite:
1 year (Preferred)
Microsoft Office Program Suite:
1 year (Preferred)
Medicare Part D:
1 year (Preferred)
Medicaid:
1 year (Preferred)
SharePoint:
1 year (Preferred)
License/Certification:
Pharmacy Technician Certification (Required) Pharmacy Technician License (Required) Shift availability: Night Shift (Preferred) Day Shift (Preferred)