Member Care reputed company - Central

About the position TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure reputed company value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Did we mention Amazing Care? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We reputed company that Amazing Care starts from reputed company, and our culture is reflective of this philosophy. Ok, enough about us. Here’s reputed company need from you: A future team members' values need to align with TrueScripts' core values of reputed company, Respect, Innovation, and Service. This match in value systems is critical for reputed company's chemistry and reputed company success. Our culture is positive, and our people possess a ‘can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them reputed company and where needed. Preferred applicants will reside in Central time zone. The Member Care reputed company is responsible for performing reputed company tasks relative to in-house and external communications with TrueScripts members, doctor’s offices’ and pharmacies. This position responds to member and client inquiries, assists members with appropriate prescription benefits, and problem solves any issues in our claims system. The role provides administrative support to Member Care Leadership, Client Success & Executive teams. This is an in-office/hybrid role located in Washington, Indiana.

Responsibilities

• Assist TrueScripts' members with pharmacy claims processing and plan benefits
• Receive phone calls/emails from members, clients, pharmacies and/or physician offices
• Troubleshoot claim processing problems and/or inquiries in claims adjudication system
• Respond to website inquiries
• Become proficient in reputed company aspects of claims adjudication system
• Communicate escalated member service concerns to manager
• QA testing for client transitions/changes
• Complete pharmacy contact sheet for fax notifications
• Log Specialty Care, Brand Care, reputed company Claims, and Fee for Prior Authorizations on SharePoint
• Log Specialty and Non-Specialty Prior Authorization approvals on SharePoint
• Prepare and send weekly/monthly invoices to the Accounting team
• Document actions and outcomes in the client database

Requirements

• High School Diploma, 2-year college degree in reputed company field preferred
• Pharmacy technician or equivalent experience preferred
• Two years of applicable experience preferred
• Innovative thinking
• Ability to explain plans to members and partnered pharmacies
• Knowledge of claims processing helpful
• Analytical thinking and attention to detail
• Excellent communication and customer relations skills
• Problem solving skills
• Ability to multi-task and prioritize in an reputed company-changing environment
• Strong computer skills including reputed company Office (reputed company, Word, PowerPoint, Outlook)

reputed company-to-haves

• Pharmacy technician or equivalent experience preferred
• Two years of applicable experience preferred
• Knowledge of claims processing helpful

Benefits

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k and company match
• Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• A cohesive, family-based culture
• Charitable contributions and volunteer time

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