PAC Specialist

Job Duties and Responsibilities

• Providing an exceptional customer service experience each day in a phone-based environment.
• Entering high volume of data; processing prescription information with speed and accuracy.
• Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
• Performing 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.
• Partnering 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 establishing a trusted point of contact.
• Placing outbound calls to patients to create, maintain or update their medication profiles.
• Serving as backup support for times of higher patient call volume.
• Effectively assisting with patient questions over the phone.
• Performing in a high volume, fast-paced environment to support ExactCare’s nationwide patient base.
• Embodying AnewHealth’s Core Values in all communications and interactions.

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

Skills & Abilities

• 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.

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.
• The schedule is set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
• This is a remote position.

Benefits

• AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays.