Care Specialist II

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Requirements:

• 2+ years experience working in a high volume pharmacy
• An active pharmacy technician license in good standing with the Colorado or Texas, free of any disciplinary actions
• Exceptional knowledge of commercial and government insurance and how to troubleshoot claims
• Ability to learn and operate a new pharmacy management system and other relevant equipment
• Ability to interpret, transcribe, and troubleshoot prescription information
• Ability to perform common math calculations

Responsibilities:

• Work with providers in navigating pharmacy insurance and inform coverage status for their patients.
• Ensure documents are compliant to each program’s requirements, and work with insurance companies to obtain coverage eligibility.
• Deliver excellent service with a focus on maintaining customer satisfaction
• Engage with other teams to support patient needs and improve the overall experience
• Handle patient and provider escalations, providing resolution and ensuring satisfaction
• Provide feedback on common issues or workflow improvements from patient or provider interactions
• Follow predefined workflows for fulfilling pharmacy needs, adhering to standard timeframes and processes
• Demonstrate empathy in all interactions, focusing on resolving concerns
• Share labor with non-specialized roles by supporting general pharmacy tasks during peak times or when coverage is needed, ensuring smooth operation across both specialized and non-specialized functions.