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Prescription Benefit Specialist at Express Scripts

Posted in Other 30+ days ago.

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Type: Full Time
Location: Dublin, Ohio





Job Description:

POSITION SUMMARY

Handle inbound calls and facilitate outbound calls from/to patients inquiring about their home delivery benefit. Explain the advantages of home delivery prescription services (mail order). Identify patient needs and present savings and convenience of receiving medications via home delivery. Accurately complete and document patient interactions and transactions in company databases. Initiate calls and faxes to prescribers to obtain prescriptions on behalf of patients who agree to use home delivery. Contact prescribers to create awareness of their patient s request to fill their prescriptions via home delivery pharmacy and submit for processing. Effectively manage a caseload of records to facilitate timely processing of home delivery prescription requests.

ESSENTIAL FUNCTIONS

* Utilize a consultative sales approach, explain the advantages of home delivery prescription services (mail-order).

* Update conversion requests and provide shipment status to members.

* Facilitate transition of requested medications to home delivery.

* Advocate for the member patient by placing phone calls, fax or other means to phyisician's office to obtain prescriptions and forward to pharmacy for fulfillment.

* Obtain new prescriptions from physicians's office and record approval status.

* Manage daily workflow volume.

* Evaluate prescription status determine next steps and record outcome.

* Service incoming calls from doctors offices.

* Ensure accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance and reduce potential legal concerns.

* Navigate multiple on-line systems to capture and interpret basic patient/physician information and document the information in company data systems.

* Resolve questions and/or issues that may be preventing shipment of an order.

* Uphold quality and productivity standards on all transactions.

* Work collaboratively with other MCC employees to ensure that best practices are shared.

* Special projects and other duties as assigned.

QUALIFICATIONS

* High School Diploma or GED required.

* 2 - 3 years of relevant experience.

* Be registered or registry eligible through the appropriate state s board of pharmacy (if required by state law) upon hire or transfer.

* Must have ability to maintain active licensure throughout time in position.

* General knowledge of Microsoft Outlook and Internet with the ability to navigate through multiple computer systems simultaneously.

* Good verbal and written communication skills.

* Ability to articulate in communicating prescription request clearly.

* Ability to provide exceptional listening and customer service skills.

* Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions.

* Demonstrate dependability, self-motivation and goal-orientation.

* Ability to positively represent ESI s vision and values when interacting with customers and members.

* Detailed oriented.

* Ability to work a flexible schedule including weekends.

ABOUT DEPARTMENT

The Pharmacy Operations Group is crucial to achieving our mission of helping to achieve a more sustainable health care system and better health for all. Members of this team are on the front line every day interacting with patients, strategizing on improvements and efficiencies, and processing more than one million prescriptions that come through our world-class pharmacies and distribution facilities across the country.

ABOUT EXPRESS SCRIPTS

At Express Scripts, we dare to imagine a better health care system, and we re driven to make it happen. Where some see obstacles, we see possibilities. We re challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all.

We have always acted first to take on the toughest challenges. We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care and deliver better outcomes like no one else can. We believe health care can do more. We are Champions For BetterSM.

Express Scripts, part of Cigna Corporation, unlocks new value in pharmacy, medical and beyond to further total health for all..

Express Scripts is an equal opportunity employer/disability/veteran


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