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Pharmacy Program Specialist (Remote)

fully flexible
Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 
Illinois (USA), United States

Offer summary

Qualifications:

1-3 years of healthcare insurance verification experience, 1-3 years of prior authorization experience, 2-3 years of patient access/patient registration experience, 1-3 years of healthcare call center experience, High school diploma required.

Key responsabilities:

  • Respond quickly to incoming calls and faxes
  • Conduct insurance verifications for coverage eligibility
  • Process patient applications and determine eligibility
  • Coordinate the order and transfer of prescriptions
  • Liaise with partner distributors and track shipments
TEKsystems logo
TEKsystems Large https://www.teksystems.com/
10001 Employees
HQ: Chicago
See more TEKsystems offers

Job description

  • We are currently seeking experienced pharmacy program specialists for a remote contract opportunity starting October 14th.* Strictly a 6 month contract, but could be offered and extension out to 1 year. Hours: M-F Availability between 8AM-6PM EST.


Must Have Qualifications

  • 1-3 Years: Healthcare Insurance Verification Experience
  • 1-3 Years: Prior Authorization Experience
  • 2-3 Years: Patient Access/Patient Registration Experience
  • 1-3 Years: Healthcare Call Center Experience
  • High School Diploma (Must Be Able to Provide For Eligibility)


Description

  • Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
  • Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
  • Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.
  • Process patient applications of various complexities, and follow the programs specifications to determine their eligibility.
  • Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary.
  • Liaise with partner distributors and pharmaceutical manufacturers to request products per the program’s guidelines and track shipments.
  • Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.


For Contract To Hire And Contract Roles

  • Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)


Experience Level

Entry Level

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Management Consulting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Verbal Communication Skills
  • Problem Solving

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