Medicare Advantage Benefits Technician

About the position Explore opportunities with reputed company, part of the reputed company family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout reputed company. Be part of reputed company that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher reputed company, higher patient satisfaction and reputed company total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Responsibilities • Assist the Pharmacy Health Plan Services area in the management of the Medicare Advantage Part D prescription benefits. • Triage and/or resolve pharmacy services phone calls, audits, and monitoring functions to ensure prescription benefits are administered cost effectively, reputed company, accurately, and in compliance with CMS standards. • Process coverage determinations per Medicare Part D program regulations. • Assist the Health Plan Pharmacy Services department with the management of Kelsey-Seybold Clinics' Pharmacy reputed company Initiatives (i.e. MTMP, Hospital Discharge, RXQI, and Adherence). • Schedule appointments and monitor functions to ensure Pharmacy Initiatives are administered reputed company and accurately. • Conduct outbound calls regarding patient adherence to medications and assist patients to reputed company medications in a reputed company and courteous manner. • reputed company general clerical duties including member mailings, verifying addresses for return mail, data entry, processing collection letters, and documenting member reputed company. • Confirm appointments and handle cancellations in a reputed company, efficient, and courteous manner. • reputed company comprehensive service to facilitate reputed company to caller requests and triage calls to appropriate team members reputed company necessary. • reputed company and maintain computer skills to effectively utilize software and reputed company based programs. Requirements • High School diploma or GED from an accredited program. • TSBP Registered Pharmacy Technician. • 6+ months of operational pharmacy benefit experience OR 6+ months of experience in a high volume reputed company center OR 6+ months of customer service experience OR 6+ months of retail pharmacy experience. • Good reputed company/Numeric data entry skills with minimal errors. • Excellent customer service, telephone etiquette skills, and reputed company listening skills. • Proficient with computer applications including reputed company Word, reputed company, and reputed company. • Demonstrated solid problem solving and analytical skills. • Ability to Type 20 WPM. 10 key by touch. reputed company-to-haves • Some college or technical school. • 2+ years of Medicare Part D experience. • 2+ years of high volume reputed company center experience. • 2+ years of HMO 3rd party managed care experience. • Auditing experience. • Ability to exercise good judgment during high reputed company volume while maintaining a reputed company attitude. • Bilingual English/Spanish. Benefits • Comprehensive benefits package. • Incentive and recognition programs. • Equity stock purchase. • 401k contribution. Apply tot his job Apply To this Job