Prescription Benefit Representative

TrueScripts Management Services, LLC; Washington, Northern (IN, KY); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance options

Salary and bonus

401k with company match

ESOP transition

Employee Assistance Program

Wellness program

Dream Manager Program

Celebrations

Charitable contributions

Job summary

TrueScripts Management Services, LLC is seeking a Prescription Benefit Representative to assist members in accessing the lowest cost medications through program opportunities. You will coordinate administrative processes, communicate with providers, and maintain accurate documentation while upholding patient privacy.

The role requires collaboration with Clinical team members and a compassionate approach for members facing affordability challenges.

Qualifications

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

• Identify lowest cost medications for members.
• Outreach to members to gather information for lowest cost opportunities.
• Communicate with physician offices and pharmacies to obtain appropriate medications.
• Maintain accurate documentation within systems and workflows.
• Monitor program queues and complete tasks within timeframes.
• Perform administrative duties such as faxing, mailing, scanning, and data entry.
• Protect member privacy and maintain confidentiality.

Skills

Bachelor’s degree in business

Pharmacy experience

Microsoft Office Suite

Strong communication

Confidential information handling

Plan benefits understanding

Education

Bachelor’s degree or equivalent

Tools

Microsoft Office Suite

Job description

Description

TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Did we mention Amazing Care? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy.

Our team members enjoy:

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k and company match
• TrueScripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• Employee Assistance Program
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• Dream Manager Program (yes, it's a real thing!)
• A cohesive, family-based culture
• Charitable contributions and volunteer time
• Lots of celebrations!

Ok, enough about us. Here's what we need from you: A future team members' values need to align with TrueScripts' core values of Integrity, Respect, Innovation, and Service. This match in value systems is critical for our team's chemistry and continued success. Our culture is positive, and our people possess a 'can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed.

The Prescription Benefit Representative supports TrueScripts' members in accessing the lowest cost medications through programs. This position is responsible for coordinating the administrative process associated with seeking lowest cost opportunities, communicating with members and healthcare providers, maintaining accurate documentation, and ensuring applications and follow-up activities are completed timely and accurately.

Key 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.

Requirements

What You're Made Of

The Bold Requirements

• Preferred but not required: Bachelor's degree in business, pharmacy, insurance, or equivalent experience.
• Experience in a pharmacy, specialty pharmacy, or insurancebenefits 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