Pharmacy Assistant - Systems

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We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.

Overview

The Pharmacy Assistant-Systems shall be responsible for working multiple daily and weekly member and system maintenance reports. Additional tasks will include producing reports, manual claim reimbursements, eligibility files, MAC appeals, MSP claims, before reports, provider blocks, reversals, DMR's, and PKU claims. The Pharmacy Assistant must possess the ability to work independently on all assigned daily and weekly tasks. Occasional evenings, weekends, holidays and overtime will be a requirement of the position.

Qualifications

• High school diploma or GED required.
• One (1) year of pharmacy experience required.
• Ability to research member eligibility and interpret pharmacy plan benefits to ensure timely and accurate payment of pharmacy claims.
• Claims data entry experience preferred.
• Excellent written and verbal communication skills required.
• Flexibility to work holidays, weekends, evening shifts, or overtime required.
• Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring.

Essential Accountabilities

• Formulary administration to include preparing reports for pharmacists and system team members to review.
• Complete regularly scheduled formulary changes.
• Research and process member submitted manual claims, transfer to appropriate parties when necessary, and provide communications to members and pharmacies for outcomes.
• Utilize procedures or tip sheets to process claims appropriately and within set time frames.
• Complete system configuration and testing for MAC appeals and weekly MAC updates.

Immigration or work visa sponsorship will not be provided for this position

Hiring Compensation Range: $22.00 - $25.00 hourly

Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information.

Current Associates must apply internally via the Job Hub app.