Clinical Service Center Technician - Remote - 2nd Shift

Remedi SeniorCare Pharmacy; Troy (OH); Remote; USD 35,000 - 45,000; Full time

Job summary

A leading pharmacy innovator is seeking a Clinical Service Center Technician for a remote role. This position involves assisting pharmacists with claims processing, adhering to quality standards, and providing exceptional customer service. Join a mission-driven organization that values person-centered care and offers comprehensive benefits including health insurance and paid time off.

Benefits

Health insurance

Paid time off

Virtual care

401k

Qualifications

• High school diploma or GED required.
• Pharmacy Technician registration preferred.

Responsibilities

• Assist the CSC Pharmacist with daily operations.
• Document actions taken to resolve clinical rejections.
• Provide excellent customer service to clients.

Skills

Basic computer skills

Understanding of medical terminology

Billing

Math

Analytical skills

Education

High school diploma or GED

Job description

Clinical Service Center Technician - Remote - 2nd Shift

Join to apply for the Clinical Service Center Technician - Remote - 2nd Shift role at Remedi SeniorCare Pharmacy

Job Overview

Description

Remedi SeniorCare is a leading pharmacy innovator dedicated to servicing long-term care facilities and senior living communities. Our mission is to provide exceptional person-centered care through advanced technology solutions and clinical expertise. As part of our team, you'll contribute to a mission-driven organization that is redefining pharmacy services and making a meaningful impact on patients and healthcare professionals nationwide.

Responsibilities

• Assist the CSC Pharmacist with daily operations, including adjudication of clinical claims and processing prior authorization forms.
• Adhere to quality, customer service standards, policies, procedures, and regulatory guidelines.
• Obtain formulary alternative information and provide it to the pharmacist.
• Complete and submit prior authorization forms to payers promptly.
• Document actions taken to resolve clinical rejections within pharmacy systems.
• Communicate effectively with customers, insurance companies, and internal staff to resolve rejected claims.
• Maintain organized records related to claims management.
• Provide excellent customer service to internal and external clients.
• Collaborate with pharmacists and management to meet departmental goals.
• Contribute to ongoing evaluation and improvement of client services, policies, and procedures.

Qualifications

• High school diploma or GED required.
• Pharmacy Technician registration with the State Board of Pharmacy preferred but not required.

Skills & Abilities

• Basic computer skills required.
• Understanding of medical terminology, billing, math, and analytical skills is preferred.
• Experience with patient accounts or billing is a plus.

Additional Details

• Location: Remote after training; initial onsite training at 962 Dorset Rd, Troy, OH for 3-6 months.
• Schedule: 2nd shift (2:30 pm - 11:00 pm, Monday - Friday, every 6th weekend 10 am - 6 pm).

We offer comprehensive benefits, including health insurance, paid time off, virtual care, 401k, and more. Join us and make a difference in healthcare!