Elevance Health
Elevance Health
Elevance Health — адамдардың денсаулығын қолдауға неғұрлым кең әрі ұзақ мерзімді тәсіл қалыптастыратын денсаулық сақтау және медициналық сақтандыру компаниясы. Оның қызметі медициналық сақтандыру артықшылықтарын, денсаулыққа кешенді түрде бағытталған біріктірілген қызметтерді және медициналық көмек пен сақтандыру қамтуын тиімдірек байланыстыруға арналған цифрлық денсаулық сақтау мүмкіндіктерін біріктіреді. 100 000-ға жуық қызметкері 118 миллионнан астам адамға қызмет көрсететін Elevance Health денсаулық нәтижелерін жақсартуға, денсаулық сақтау жүйесін дамытуға және мықты қауымдастықтарды қолдауға бағытталған ауқымды, түрлі салалар мамандары жұмыс істейтін ұйымдағы мансап мүмкіндіктерін ұсынады.

Bilingual Pharmacy Technician II – Remote in Florida

Support CarelonRx members and healthcare professionals by processing prescriptions, handling prior authorizations, and addressing pharmacy benefits questions. Help maintain accurate records and compliance with Medicare requirements.

Сипаттама

  • Interpret and accurately enter moderately complex prescriptions
  • Process prior authorization requests
  • Investigate and resolve prescription adjudication problems
  • Confirm member details and enter information for pharmacists
  • Explain prescription requirements, medication resources, and assistance programs to members
  • Review prior authorization submissions from physician offices while meeting Medicare compliance requirements
  • Communicate prior authorization decisions to the appropriate parties
  • Address issues involving grievances and appeals
  • Answer physician, sales team, and member questions about formularies and prescription benefits
  • Prepare rebate, physician utilization, Beers Criteria, Reliance member, and ad hoc reports
  • Keep prior authorization, rebate, and monthly reporting records up to date

Талаптар

  • Hold a current, active, unrestricted professional license when required by state law
  • Meet applicable state requirements for pharmacy technician or national certification
  • For the CPCC business area, hold a current pharmacy technician license and national certification
  • High school diploma or equivalent qualification
  • At least two years of pharmacy experience
  • Fluency in Spanish or another additional language is required
  • Successfully complete a validated language assessment
  • Previous call center experience is preferred
  • PTCB certification is strongly preferred
  • Demonstrate strong verbal, written, and interpersonal communication abilities
  • Apply effective problem-solving skills
  • Use facilitation skills in relevant interactions
  • Demonstrate analytical ability

Артықшылықтар

  • Merit-based pay increases
  • Paid holidays
  • Paid time off
  • Incentive bonus programs
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Short-term disability coverage
  • Long-term disability coverage
  • 401(k) plan with matching contributions
  • Employee stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
  • Full-time virtual work, apart from required in-person training sessions
  • Flexible work-life integration

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