Clinical Service Center Technician - Remote After Training

Description

Remedi SeniorCare is a leading pharmacy innovator dedicated to servicing long-term care facilities and senior living communities. Our mission is to provide exceptional person-centered care through advanced technology solutions and clinical expertise. As a part of the Remedi team, you'll be contributing to a mission-driven organization that is redefining the future of pharmacy services and making a meaningful impact on the lives of patients and healthcare professionals across the nation.

Job Description

The Clinical Service Center Technician is responsible for assisting the CSC Pharmacist with the day-to-day operational needs, including adjudication of clinical claims, processing prior authorization forms and meeting the requirements of the Clinical Service Center. Adheres to the company’s quality and customer service standards, policies and procedures, and state and federal guidelines.

Location: Remote after training and performance goals achieved. Must be willing to train onsite at 962 Dorset Rd, Troy, Oh 45373 for a minimum of 3-6 months.

Schedule: Monday - Friday, 2nd shift: 2:30pm - 11:00pm every 6th weekend 10am-6pm.

What We Offer:

• Comprehensive Medical, Dental and Vision Insurance (as low as $13.33/pay)
• Paid Time Off
• Free Virtual Care – Telemedicine
• 401k with company match
• Closed-door Pharmacy - No more face-to-face meetings with customers
• Referral Bonuses
• Life Insurance
• Make a difference in the lives of others!
• We are growing and that means more opportunities

Key Responsibilities:

• Obtains formulary alternative information and provides to CSC pharmacist.
• Selects appropriate prior authorization forms, completes them as directed by the CSC pharmacist and submits to the applicable payer for review in a timely manner.
• Documents all actions taken to resolve a clinical rejection in the respective pharmacy operating systems
• Communicates with customers, insurance companies and internal pharmacy staff to effectively and appropriately resolve rejected clinical claims
• Maintains organized record of CSC documentation related to claims management
• Applies superior customer service skills when working with both internal and external customers
• Works in collaboration with the CSC Pharmacists and Director to meet department goals and objectives.
• Actively contributes to the evaluation and continuous improvement of client services, policies and procedures.

Qualifications:

• High school diploma or GED required
• Current registration as a Pharmacy Technician with the State Board of Pharmacy is preferred, but not required (good standing)

Skills & Abilities:

• Basic computer knowledge skills required
• Basic understanding of medical terminology, medical billing practices, math and analytical skills is preferred, but not required.
• Patient accounts and/or billing experience is preferred.

Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.