Prescription Benefit Advocate: Lower Costs & Access

TrueScripts Management Services; Washington (IN); On-site; USD 48,000 - 60,000; Full time

Benefits offered by this job

Health insurance

Salary and bonus program

401k with company match

ESOP transition

Employee Assistance Program

Wellness program

Dream Manager Program

Family culture

Charitable contributions

Celebrations

Job summary

TrueScripts Management Services is seeking a Prescription Benefit Representative to support members in obtaining lowest cost medications. You will coordinate administrative processes, communicate with providers, and maintain accurate documentation while ensuring timely follow-up and adherence to confidentiality standards.

The role emphasizes collaboration with clinical teams to improve affordability and patient experience, handling outreach, data entry, and reporting duties with empathy for

Qualifications

• Bachelor’s degree preferred but not required.
• Experience in a pharmacy, specialty pharmacy, or insurance benefits related setting preferred.
• Pharmacy Technician experience is helpful.
• Proficient in Microsoft Office Suite.
• Strong written and verbal communication skills.
• Ability to work with confidential and sensitive information.
• Understanding of plan benefits.

Responsibilities

• Work with members to identify lowest cost medications right for them.
• Conduct outreach to members to gather required information needed to get their medications at lowest cost.
• Communicate with physician offices, pharmacies, to help get members the right medications.
• Maintain accurate and timely documentation within applicable systems and workflows.
• Monitor cost containment program queues and ensure tasks are completed within established timeframes.
• Complete refill or renewal outreach as required by individual cost containment programs.
• Prepare and maintain reports and metrics related to cost containment program activity.
• Perform administrative duties including faxing, mailing, scanning, data entry, documentation, and other outreach activities.
• Protect member privacy and maintain confidentiality of all members and patient information.
• Work collaboratively with Clinical team members to identify opportunities to assist members with medication affordability.
• Provide a high level of service and compassion when working with members who may be experiencing financial or medication-access challenges.
• Identify opportunities to improve patient assistance processes, workflows, and the member experience.
• Perform other duties as assigned by the Clinical Director.

Skills

Strong written and verbal comms

Confidential information handling

Plan benefits understanding

Education

Bachelor’s degree in business, pharmacy, insurance, or equivalent experience

Tools

Microsoft Office Suite

Job description

TrueScripts Management Services is seeking a Prescription Benefit Representative to support members in obtaining lowest cost medications. You will coordinate administrative processes, communicate with providers, and maintain accurate documentation while ensuring timely follow-up and adherence to confidentiality standards.

The role emphasizes collaboration with clinical teams to improve affordability and patient experience, handling outreach, data entry, and reporting duties with empathy for