Pharmacy Technician Specialist

Ametros Financial Corp; North Wilmington (MA); Remote; USD 10,000 - 60,000; Full time

Job summary

Ametros Financial Corp is seeking an Rx Specialist to support the Authorizations team in Member Services. The role involves resolving pharmacy claims rejections, adhering to regulatory compliance, and ensuring high-quality customer service. Ideal candidates will have pharmacy technician certifications and experience in call center environments, joining a passionate team committed to innovation in healthcare.

Benefits

Diversity and Inclusion Initiatives

Philanthropic Opportunities

Qualifications

• 2+ years’ experience in a call center and/or pharmacy setting.
• Thorough understanding of pharmacy benefit industry.
• Ability to handle customer conflicts effectively.

Responsibilities

• Monitor pharmacy rejected claims and resolve within timelines.
• Follow-up on authorization requests in a timely manner.
• Document communications clearly and maintain database accuracy.

Skills

Customer Service Best Practices

Problem Solving

Communication

Interpersonal Skills

Education

Nationally Certified Pharmacy Technician

State Licensed Pharmacy Technician

Tools

Healthcare Information Systems

Job description

Description

Ametros is changing the way individuals navigate healthcare by providing them with the tools and support necessary to make educated decisions on how to spend their medical funds. Ametros's team works closely with patients, insurers, employers, attorneys, brokers, medical providers, and Medicare to create a seamless experience for our clients. Our flagship product is revolutionizing the way funds from insurance claim settlements are administered after settlement. Ametros continues to innovate, bringing new solutions to the market with the goal of simplifying healthcare for our clients. We make managing medical funds safe, effortless, and cost effective for everyone.

Schedule:

M-F 8:30-5pm PST or 11:30-8pm EST, with the ability to work some weekends/holidays

The Opportunity:

We are seeking aRx Specialistto primarily provide support to the Authorizations team within the Member Services Department. The ideal candidate will be comfortable and familiar with prescription terminology and authorization practices. Our company is extremely passionate and dedicated to providing superior service. If you thrive in a fast-paced innovative environment that emphasizes individual accountability with the support of a team structure, come join us!

Your Day-to-Day:

• Monitor and resolve all pharmacy rejected claims within the established turnaround times and in compliance with Medicare and regulatory requirements.

• Follow-up on authorization requests in a timely fashion.

• Contact members to obtain necessary approval on rejected pharmacy claims.

• Contact PBM as needed to resolve any complex pharmacy issues.

• Document all communication, upload appropriate documents to internal database, and document clear concise notes in our database to ensure accounts are up-to-date.

• Proactively identify issues, and work towards a fast resolution.

• Act in compliance with security and HIPAA policies and procedures.

• Other duties as assigned.

Requirements

What you bring to the team:

• Nationally Certified Pharmacy Technician & State Licensed Pharmacy Technician

• 2+ years’ experience in a call center and/or pharmacy setting

• Thorough understanding & proficient use of customer service best practices and techniques in the Pharmacy Benefit industry.

• Working knowledge of healthcare information systems and knowledge of Rx products and pharmacy services.

• Ability to problem solve and handle customer conflicts effectively.

• Strong interpersonal and communication skills.

The estimated salary range for this position is $23.00 to $25.00 per hour. Actual salary may vary up or down depending on job-related factors which may include knowledge, skills, experience, and location. In addition, this position is eligible for incentive compensation.

#LI-BB1

#LI-Remote

In addition to our benefits package, employees have the opportunity to get involved with engagement, diversity, and philanthropic initiatives from their first day working with us to help us achieve our goal ofLimitless Inclusion for All. As Ametros Citizens, we work together to foster an environment of limitless inclusion and belonging that encourages, supports, and celebrates the diverse voices and backgrounds of our people, while energizing the passion and innovations to revolutionize our industry.

Ametros is an Equal Opportunity Employer