Patient Engagement Specialist - MA Pharmacy License

Shields Health Solutions; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare service provider seeks a Patient Engagement Specialist to assist with inbound pharmacy calls, manage patient refills, and support clinical care teams. Applicants should have experience as a pharmacy technician and strong communication skills. This role allows for remote work and requires proficiency in Microsoft Office. Competitive candidates will be organized, detail-oriented, and able to maintain confidentiality.

Qualifications

• 1-3 years of Pharmacy Technician experience, preferably adjudicating claims.
• Experience in managing refills and working with clinical care teams is preferred.
• National certification as a pharmacy technician is strongly preferred.

Responsibilities

• Coordinate medication refills and pharmacy claim adjudication
• Manage inbound inquiries and patient refill requests
• Clarify prescription orders with pharmacists or clinicians

Skills

Interpersonal communication skills

Exceptional phone skills

Proactive engagement

Organizational skills

Microsoft Office proficiency

Education

High school diploma or GED

Job description

Overview

Remote

The Patient Engagement Specialist will be responsible for providing service for inbound pharmacy phone calls and/or placing outbound patient refill calls and assisting the patient through the entire refill process. This role will be responsible for some or all of the below types of activities: responding to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy; inbound calls to support the health systems needs in patient; status checks on prescriptions; assists pharmacies to properly adjudicate electronic prescription drug claims and resolve adjudication error messages; responsible for providing knowledgeable and courteous customer assistance and response to members, providers, and pharmacy team member inquiries; serves as a point of contact between patients, pharmacy, liaisons, clinical providers, and various internal functional areas.

Key Responsibilities

• Proactively coordinate medication refills including data entry and pharmacy claim adjudication
• Make outbound patient refill phone calls and complete the patient refill request
• Answer, resolve and triage inbound inquiries
• Clarify prescription orders with pharmacist and/or clinician as appropriate
• Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication
• Manage, organize, and update relevant data using database applications
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards
• Identify trends, resolve problems; recommend improvements; implement change
• Actively participate in process improvement initiatives
• Act as a value-added business partner to stakeholders throughout the organization
• Protect organization's value by keeping information confidential
• Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations
• Flexible scheduling to meet business needs with health system partners starting as early as 7:45 AM (EST)/ 8:00 AM EST
• Other duties and/or responsibilities may apply

Experience/Requirements

Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.

If the candidate's state of residence does not have a state registration available, then the National certification is required at time of hire. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.

Experience and Education Requirements

• 1-3 years of Pharmacy Technician and adjudicating claims
• Experience strongly preferred but not required - managing refills, specialty pharmacy, working with clinical care teams, and working remotely

Education: High school diploma or GED required

Skills: Strong interpersonal communication skills, exceptional phone skills, comfortable with proactively engaging patients telephonically, comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other programs, adapt to Shields’ unique model / tools and able to extract relevant information; strong organizational skills a must

Traits: Organized, high-integrity, high accountability, attention to detail, dependable, quality focus, empathetic, good listener/communicator, collaborative, consistently arrives to work on-time with minimal unscheduled time off

Other: Energetic, highly motivated, team player with strong personal and communication skills, ability to sit and/or stand with focus at a workstation for a long period of time; discretion and confidentiality essential as position deals with highly sensitive and private data

Minimum Remote Role Expectations

• Remote role requires sitting at a desk with two company-required monitors
• Must have high speed, stable, and reliable internet connection
• Must be willing to work overtime to support week-to-week fluctuations in patient care management
• Must have a distraction-free work environment where you can keep your primary focus on patient care throughout the day
• Ability to have camera on for most meetings with co-workers or leaders

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.