Associate Pharmacy Care Technician
Company: Optum
Location: Cibolo
Posted on: September 30, 2024
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Job Description:
$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start -Caring.
Connecting. Growing together. - -
The -Associate Pharmacy Care Technician -will make outbound calls
to members and physicians to improve medication adherence and other
pharmacy related quality metrics. - -Responsible for gathering
prescription refill orders and providing excellent customer service
as well as determining the eligibility of members applying for the
Medical Assistance Program.
Location: -19500 International Highway 10 West, Building 1, San
Antonio, TX
Schedule: -Monday to Friday 9:00am to 6:00pm CST with rotating
Saturdays from 8:00am to 5:00pm CST
Primary Responsibilities:
Conduct a high volume of outbound calls to members to discuss
reasons for non-compliant to medication(s), schedule pharmacy
telephonic appointments, and/or obtain important follow up
information from providers. - Outbound calls are made primarily
using an autodialer requiring precision to detail and adaptability
to type of response needed
May answer inbound calls from members and assists them with their
inquiries. Routes calls to appropriate department if necessary
Follows system scripting and validates member demographic
information
Documents the provider or member's record with accurate information
obtained on the call
Performs desk and on-site review of all claims documentation to
validate correct billing and that payment made to contracted
pharmacies is supported and appropriate
Provides support to internal staff, subcontractors and providers
with respect to Medicare drug related issues
Participates in and contributes to the overall pharmacy quality
improvement initiatives
Collects and maintains eligibility information in an appropriate
and confidential manner
Enters all assigned applications within a specified time frame in
order to ensure eligibility deadlines are met accordingly
Exhibits excellent phone and communication skills while providing
complete and accurate information to members
Requests additional or supplemental information via correspondence
in order to complete applications
Adheres to assigned schedule and quality metrics
Uses a multi-lined telephonic system to answer calls regarding
eligibility requirements and medication refill orders
Follows all policy and procedures for the Medical Assistance
Program
Performs all other related duties as assigned
Ability to use fine motor skills to operate office equipment and/or
machinery
Ability to receive and comprehend instructions verbally and/or in
writing
Ability to use logical reasoning for simple and complex problem
solving
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. -Required
Qualifications:
High School Diploma / GED (or higher)
Active and unrestricted Pharmacy Technician license in the state of
Texas
National Pharmacy Technician Certification (Certified Pharmacy
Technician CPhT)
1+ years of experience in a pharmacy setting
1+ years of experience in a customer service setting
6+ months of previous call center experience
Basic level of proficiency with Medicare Part D, particularly the
pharmacy record review, claims, billing and reimbursement rules
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Basic level of proficiency with HIPAA Privacy and Security Rules
and CMS security requirements
Basic level of proficiency with writing skills and ability to
produce work free from typographical or spelling errors
Basic level of proficiency with Microsoft Office, Internet and
e-mail including the ability to produce work free from typos
Ability to sit for extended periods of time
Preferred Qualifications:
Bilingual (any language)
PBM experience -
Advanced knowledge of NCPDP and other types of prescription drug
claims is required
Knowledge of Medicare Part B and Part D coverage guidelines and
payment methodologies Previous retail pharmacy experience -
**PLEASE NOTE** The sign-on bonus is only available to external
candidates. - Candidates who are currently working for UnitedHealth
Group, UnitedHealthcare or a related entity in a full time, part
time or per diem basis ("Internal Candidates") are not eligible to
receive a sign on bonus. - -
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At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. -
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Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity / Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law. -
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UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment. -
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#RPO -#RED
Keywords: Optum, New Braunfels , Associate Pharmacy Care Technician, Professions , Cibolo, Texas
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