Pharmacy Call Center Specialist - East Pharmacy

A Brief Overview

In accordance with state and federal regulations, responsible for data entry, patient registration, and resolving third party rejects in a call center setting. Works under supervision to handle high-volume customer inquiries, adhering to HIPAA guidelines and company policies. Supports pharmacists, maintains records, and operates pharmacy systems efficiently.

What you will do

• 1. Perform data entry for patient registration and prescription orders, troubleshoot issues, and resolve third party rejects. 2. Operate computerized data systems for order entry, claims adjudication, and insurance management. 3. Facilitate pharmacy services through calls with patients, ensuring education and delivery transactions. 4. Serve as a liaison between patient care units and pharmacy, ensuring responsive and courteous communication. 5. Assist pharmacists and communicate issues to senior staff. 6. De-escalate conflicts and provide patient assistance as needed. 7. Monitor performance and adjust activities to meet productivity standards. 8. Conduct initial research of pharmacy issues and escalate complex cases to higher-level staff. 9. Review and process prescription claims for accuracy and adherence to guidelines. 10. Identify and resolve issues affecting service and business operations. 11. Foster teamwork and maintain a positive work environment. 12. Assist with training new hires in the call-center and attend required training sessions. 13. Operate computer systems and general office equipment. 14. Manage correspondence with patients and prescribers, including inbound and outbound calls and emails. 15. Assist pharmacists with technical pharmacy services, including packaging medications and maintaining records. 16. Prepare and fill prescriptions, ensuring accuracy and compliance with regulations. 17. Handle transportation and storage of pharmacy items, ensuring accurate delivery to patient care units.

Qualifications

Physical Demands

Regional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

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