Prescription Experience Specialist
New
G
Generator HealthHealthcare Operations
We are currently able to employ team members who live in: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin., 9am-5pm (Pacific Time)/12pm-8pm (Eastern), including SaturdaysFull-TimeMiddle
Salary23 USD per hour
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Job Details
- Required Skills
- Customer support
Requirements
- Demonstrated experience in a role requiring analytical problem-solving and operational rigor
- Proven track record of taking ownership of outcomes rather than just completing assigned tasks
- Strong client-facing communication skills across phone, text, and email
- Ability to de-escalate tense conversations effectively
- Healthcare or medical background (e.g., medical assistant, pre-med, or healthcare support experience)
- Capability to manage a growing, varied caseload and prioritize queue autonomously
- Proficiency in mastering new, complex software tools quickly
- Aptitude for working with data and understanding the downstream impact of process changes
- Ability to work in a remote, full-time capacity including Saturdays
- Ability to work a shift from 9am-5pm PT / 12pm-8pm ET
Responsibilities
- Own the end-to-end prescription experience for a portfolio of newly onboarded practices and escalated cases, from first submission through final determination
- Become an expert in navigating prior authorizations across insurance plans, pharmacies, and affordability programs to get prescriptions processed quickly and correctly
- Operate in a case-management style: investigate the full history of a case, identify where something has stalled, loop in and escalate to the right internal teams, and follow through until it's resolved
- Proactively catch and resolve issues before they become delays, working directly with plans, pharmacies, and providers as needed
- Communicate with providers and patients across phone, email, and text
- De-escalate high-stress situations while maintaining 100% accuracy in case documentation
- Spot patterns across a practice's prescriptions to turn them into practical guidance or internal process improvements
- Master proprietary software tools to execute operational workflows efficiently
- Collaborate cross-functionally to coordinate resolutions for patient or provider issues
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