Overview
At Carenet, we foster collaboration, creativity and innovation. Our promises to our team members include empowering growth through trust, opportunity and accountability. We are looking for people who want to work with an entrepreneurial spirit and deliver market-leading performance!
If you are passionate about healthcare and supporting patients with their healthcare needs, empathetic, patient focused and enjoys interacting with patients, patient representatives, providers, pharmacies and more, then this may be the position for you. Did we mention this was a remote, work from home position?
Responsibilities
Some of what you will be doing:
Receive and respond to prescription refill requests through various communication channels, including phone, email, fax, and Telephone Encounter.
Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information.
Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends.
Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing.
Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs.
Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes.
How to thrive when working at home: Safety o Choose a consistent work area/officeo Make your area physically safeo Stay organizedo Personalize your desk!Security o Privacy matterso Keep it quiet - remember, we are dealing with patients!o Protect your computerSupporto Communicateo We coach and focus on your performanceo Quality mattersSuccess o Get ready for work!o Prepare yourself mentallyo Use your resourceso On your break, get outside once in a while
Why Carenet? For more than 30 years, Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. In fact, we interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes. From best-in-class clinical expertise to personalized and automated solutions, we integrate the power of human touch with data-driven technology in our mission to make healthcare better for all.
Qualifications
We want you to be successful, so these are some of the qualifications required:
- Minimum of High School Diploma or GED
- 1 - 3 years experience in a retail pharmacy
- Extensive knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
- Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
- Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
- Preferred Education, Experience & Skills Bilingual, National Certification,
Note: Completion of assessments may be required before an applicant can move forward. Completing assessments must be done independently. Any discovery of unauthorized completion, whether during or after the hiring process, will result in disqualification or termination.
Carenet Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.
Please note that we are not accepting resumes for this position from external staffing agencies or recruiters. To be considered for this role, please submit your application directly through our official career portal.
Req no: 4866
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