AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.
Job Details
Experienced Pharmacy Technicians in Operations may hold various duties to ensure ExactCare’s patients receive quality care out of their pharmacy services. Job duties will include multiple tasks daily such as phone work, navigating multiple pharmacy software systems and supporting the various stages of patient care while working efficiently to understand the department’s collective goals. These areas of responsibility will fluctuate based on organizational needs, allowing the Pharmacy Technician to develop multiple skill sets. This is an office (or remote) based, cubicle environment, allowing the Pharmacy Technician to provide an exceptional patient experience.
Responsibilities
- Review account billing for accuracy and communicate changes accordingly with patients
- Coordinate patient profiles with appropriate pharmacy support and services
- Providing an exceptional customer service experience each day in a phone-based environment
- Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks
- Working through current case queues to problem solve for patient care issues
- Patient outreach to collect payments and coordinate payment plans
- Serving as a liaison between the clinical pharmacists and other medical professionals on patient’s behalf
- Maintaining patient records with strong attention to detail and confidentiality
- Accurate retrieval of all prescription information and verifying through doctor calls
- Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base
- Other tasks as required
Skills & Abilities
- Strong attention to detail and accuracy
- Strong math skills
- Ability to calculate profitability
- Strong prioritization and organizational skills
- Ability to use multiple software programs to fulfill medication orders
- Maintain a high degree of confidentiality
- Passion to help people and enrich their lives
- Comfortable working in a phone-based environment
- Ability to work independently
- Self-motivated and goal oriented
- Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone
- Thorough drug knowledge
- Pharmacy billing knowledge
- Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication
- Maintain a high degree of confidentiality
- Ability to think critically and document pertinent details in a world class manner that is compliant with state and federal regulations
- Ability to work Monday through Friday 9am until 5:30pm
Requirements
- Must be 18+ years of age
- High school diploma/GED
- Prior experience in a pharmacy setting
- Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate
- Must maintain a pharmacy technician registration with State Board of Pharmacy
- Ability to sit at a desk 90% of the time
AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
