Certified Medical Assistant, Bilingual
Description:
• Receive and respond to prescription refill requests through various communication channels, including phone, email, fax, and Telephone Encounter
• Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines
• Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures
• Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information
• Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends
• Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing
• Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs
• Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes
Requirements:
• Minimum of High School Diploma or GED
• Minimum of 1 years experience in a retail pharmacy
• Extensive knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
• Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
• Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
• Preferred Education, Experience & Skills Bilingual, National Certification
• Language Ability: Ability to read, analyze, and interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations
• Ability to effectively present information and respond to questions
• General writing skills and ability to produce work free from typographical or spelling errors
• Proficient Bilingual Language Skills- Read, Write, Speak (Spanish and English)
• Technical skills: Basic PC and keyboarding skills required
• Ability to handle multiple line phone systems, pagers and paging systems preferred
• Working knowledge of Microsoft Office, Internet and e-mail
• Certificates and Licenses: Pharmacy Technician: Certified Pharmacy Technician (CPhT) current, unrestricted license is required
• Medical Assistant: must have a verifiable and nationally recognized certificate
Benefits:
• Health, dental, and vision insurance
• 401(k) plan with company match
• Paid time off (PTO) and holidays
• Flexible spending accounts (FSAs)
• Employee wellness programs
• Career development opportunities
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