Pharmacy Care Technician - San Antonio, TX

Optum; San Antonio (TX); On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Pharmacy Care Technician to join their dynamic team in San Antonio. This role involves making outbound calls to enhance medication adherence and providing exceptional customer service. You'll play a crucial part in ensuring members receive the support they need while navigating their pharmacy benefits. With a focus on health equity, this position offers a rewarding opportunity to make a real impact in the community. Join a culture that values diversity, inclusion, and career development, and take the next step in your professional journey with this forward-thinking organization.

Benefits

Sign-on Bonus

Comprehensive Benefits Package

Incentive Programs

401k Contribution

Equity Stock Purchase

Qualifications

• 1+ years of experience in a pharmacy setting.
• 6+ months of experience in a call center setting.
• Intermediate level of knowledge of HIPAA Privacy and Security Rules.

Responsibilities

• Make outbound calls to improve medication adherence.
• Gather prescription refill orders and provide customer support.
• Document calls and maintain eligibility information.

Skills

Customer Service

Communication Skills

HIPAA Knowledge

Microsoft Office Proficiency

Pharmacy Knowledge

Education

High School Diploma/GED

Certified Pharmacy Technician (CPhT)

National Certification

Tools

Auto Dialer

Multi-lined Telephonic System

Job description

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$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Pharmacy Care Technician will make outbound calls to members and physicians to improve medication adherence and other pharmacy related quality metrics. Responsible for gathering prescription refill orders and providing excellent customer service as well as determining the eligibility of members applying for the Medical Assistance Program. May serve as a subject matter expert for the Pharmacy Team.

Schedule: Monday to Friday, 9:00 AM - 6:00 PM and Saturday rotation (8:00 AM - 5:00 PM)

Location: Onsite - 19500 W Interstate 10, San Antonio, TX 78257

Primary Responsibilities

• Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed
• May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary
• Follows system scripting and validates member demographic information
• Documents the provider or member's record with accurate information obtained on the call
• Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate
• Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues
• May serve as a subject matter expert for the Pharmacy team and mentor new employees to the team as necessary
• Participates in and contributes to the overall pharmacy quality improvement initiatives
• Collects and maintains eligibility information in an appropriate and confidential manner
• Enters all assigned applications within a specified time frame to ensure eligibility deadlines are met accordingly
• Exhibits excellent phone and communication skills while providing complete and accurate information to members
• Requests additional or supplemental information via correspondence to complete applications
• Adheres to assigned schedule and quality metrics
• Uses a multi-lined telephonic system to answer calls regarding eligibility requirements and medication refill orders
• Performs all other related duties as assigned
  
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• High School Diploma/GED (or higher)
• Certified Pharmacy Technician (CPhT) in the state of Texas
• National Certification
• 1+ years of experience in a pharmacy setting
• 6+ months of experience in a call center setting
• Intermediate level of knowledge of HIPAA Privacy and Security Rules and CMS security requirements
• Intermediate level of writing skills and ability to produce work free from typographical or spelling errors
• Intermediate level of proficiency with Microsoft Office, Internet and e-mail
• Beginner level of knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
  
  

Preferred Qualifications

• PBM experience
• Beginner level of knowledge of NCPDP and other types of prescription drug claims
• Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
• Bilingual
• PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
  
  

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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