Jefferson Health
Specialty Pharm Rep- Fulfillment- KOP
Montgomery County, PA · Part-time
Sponsorship not specifiedDetected 12 hours ago
HRISCustomer SupportPharmacy PracticePatient CareCritical Thinking
About the role
- include entering the patient information; name, date of birth, insurance information, allergies and medication history into our therapy-specific patient assessment software.
- Assist with the filling and distribution of prescriptions, under the direction of a patient care pharmacist, in accordance with the law.
- Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Responsibilities
- Schedule delivery of high dollar/specialty medications as well as other maintenance medications to maintain patient adherence and compliance to prescribed therapy according to departmental policy and guidelines
- Identify any barriers to care, non-compliance, changes in therapy/dosing and escalate to the clinical support team when appropriate
- Proactively document and recognize cause and effect trends
Requirements
- ability to learn from and lean on past experiences
- Ability to communicate professionally and efficiently in both written and verbal format with patients, physicians, payors and clinical staff in-person and on the phone.
- Detailed orientated with excellent organization skills, ability to learn quickly
- 3+ years experience in customer service role
- Ability to adapt in a dynamic work environment
Nice to have
- Experience with clinical software systems
- Specialty Medications and Medicare billing is highly preferred.
- High School Diploma or GED equivalent preferred
- AS/BS degree preferred
- Certified Pharmacy Technician (CPhT) preferred
Benefits
- Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
- All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.
- For more benefits information, please click here
- Adjudicate and review claims responses for reimbursement and profitability
- Authorization, Benefits Investigation, Step Therapy, Non-Formulary, Financial Assistance, etc
- Explain insurance coverage to patients as it relates to their copay responsibility and financial resources available to them
- Knowledge of commercial, Medicaid, and Medicare billing and understanding program requirements for all types of coverage
Company info
- Knowledge of and ability to utilize software, technologies and applications to interact with customers via a telephone, web or other electronic means.
- Respond to customers in a compassionate manner
Visa & Work Authorization
- or, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or
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This listing is sourced directly from Jefferson Health's careers page and normalized into a canonical job model.