• Job Description

  Req#: 4455

  Pharmacy Concierge Specialist

  6000 Park Ln Dr, Pittsburgh, PA 15275, USA Req #4455

  Friday, August 4, 2023

  ConnectiveRx is a leading, technology-enabled healthcare services company. We work strategically with hundreds of biopharmaceutical manufacturers to help commercialize and maximize the benefits of specialty and branded medications. Our mission is to simplify how patients get on and stay on therapy. We fulfill our mission by providing our customers with innovative services such as patient and provider messaging, the design and operation of copay, vouchers and patient affordability programs, and hub services, all of which accelerate speed-to-therapy and help improve outcomes for manufacturers, healthcare providers and patients.
  
  ConnectiveRx was formed in 2015 by bringing together the industry-leading business of PSKW, PDR/LDM, Careform (2017) and The Macaluso Group (2018) to advance our technology-driven expertise in providing state-of-the-art commercialization solutions. To learn more about our company, visit ConnectiveRx.com
  
  Job Description

  Location : 6000 Park Lane, Pittsburgh, PA, 15275 (Robinson Twp)
  
  The dedicated Pharmacy Concierge Specialist, under the direction of the Program Manager, is responsible for assisting pharmacies, physicians, and patients during the coordination of benefit process when a prior authorization is required. The Dedicated Pharmacy Concierge Specialist primarily offers guidance to pharmacists who require assistance processing a claim within the pharmacy’s adjudication system. The Pharmacy Concierge Specialist troubleshoots claim rejection and processing errors to ensure no patient walks away without a successful offer.

  What you will do:

  • Triage all incoming phone calls and faxes.
  • Work rejected real-time claims for all pharmacies supported by the program.
  • Work with pharmacies to process claims and ensure timely dispensing of medications.
  • Work with facility staff and program offering documents to gather pertinent information needed to secure successful adjudication.
  • Call insurance plans to follow-up on submitted prior authorizations, when applicable.
  • Communicate to the staff and then escalate to the Program Manager any unresolved issues in claims processing.
  • Proactively monitor daily claims to identify potential claims issues before prescription abandonment.
  • Follow all applicable government regulations including HIPAA.
  • Display behavior which exemplifies employee code of conduct guidelines.

  
  To be successful, you will possess excellent communication and organization skills, as well as the ability to work cross-functionally, multitask, meet deadlines and be flexible in a fast-paced work environment. Strong computer skills in data entry and Microsoft Office programs are also critical to your success.

  What we need from you:

  • Maintain current and good standing with Pennsylvania Board of Pharmacy as a Pharmacy Technician or Pharmacy Assistant, as required.
  • Knowledge of pharmacy claims adjudication process
  • Knowledge of pharmacy claims processing software
  • Accurate data entry
  • High level of customer service and empathy
  • Experience with PC and Microsoft Word and Excel a must.
  • Excellent written and oral communication skills along with problem solving skills required.
  • Ability to problem solve under pressure.

  
  

  Why work with us?

  • Excellent company culture, fun events, and volunteer opportunities
  • Competitive benefits (medical, dental, vision & more)
  • 401k package with dollar-for-dollar match-up
  • Generous PTO and paid holidays days offered
  • Opportunities to grow professionally and personally
  • Team-oriented atmosphere
  • Office snacks!!

  Equal Opportunity Employer: This employer (hereafter the Company) is an equal opportunity employer and does not discriminate in recruitment, hiring, training, promotion, or other employment policies on the basis of age, race, sex, color, religion, national origin, disability, veteran status, genetic information, or any other basis that is prohibited by federal, state, or local law. No question in this application is intended to secure information to be used for such discrimination. In addition, the Company makes reasonable accommodation to the needs of disabled applicants and employees, so long as this does not create an undue hardship on the Company or threaten the health or safety of others at work. This application will be given every consideration, but its receipt does not imply that the applicant will be employed.

  Other details

  • Job Family Indv.Contr - NonExempt
  • Pay Type Hourly
  • Employment Indicator Office

  Apply Now

• About the company

  ConnectiveRx is a leading, technology-enabled services company that works strategically with biopharmaceutical manufacturers to help commercialize and maximize the benefits of specialty and branded medications.

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