Pharmacy Svcs Rep I
Location: Baton Rouge, Louisiana
Description: Molina Healthcare is currently seeking to employ Pharmacy Svcs Rep I right now, this career will be presented in Louisiana. For complete informations about this career opportunity kindly see the descriptions. Job Summary
Handles provider phone calls regarding pharmacy claims processing in a call center setting. Satisfactorily resolve calls within expected response time standards. Supports ! all functions involved in either the LockIn (LI) or retrospective Drug Utilization Review (DUR) programs as requested.
Essential Functions
o Handles inbound pharmacy call volume.
o Responds to incoming calls mainly from providers, as required to meet departmental goals.
o Explains Point of Sale (POS) claims adjudication, state Medicaid policy/guidelines, and any other necessary information to providers, in a clear, precise, and professional manner.
o Records calls accurately in call tracking system.
o Maintains specific quality and quantity standards.
o Assists with process tasks & activities.
o Assists with clerical support services/tasks as delegated.
Knowledge/Skills/Abilities
o Ability to work with supervision
o Ability to work as a team player
o Knowledge of pharmacy/medical terminology
o Excellent organizational, and verbal and written communication skills
o Basic knowledge of Microsoft Office
o Abi! lity to multi task in a high paced environment
o Ability t! o abide by Molina policies
o Ability to maintain attendance to support required quality and quantity of work
o Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
o Ability to establish and maintain positive and effective work relationships with coworkers, clients, members,
providers and customers
Required Education:
High School Diploma or equivalent GED
Required Experience:
1-2 years Medicaid experience in a community pharmacy
Required Licensure/Certification:
Current Pharmacist Technician license
Preferred Education:
N/A
Preferred Experience:
Medicaid pharmacy policy
Pharmacy POS claim processing
Preferred Licensure/Certification:
N/A
To all current Molina employees if you are interested in applying for this position please apply through the intranet job listing. Also, fill out! an Employee Transfer Request Form (ETR) and attach it to your profile when applying online.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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If you were eligible to this career, please send us your resume, with salary requirements and a resume to Molina Healthcare.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career starts available on: Mon, 18 Nov 2013 21:51:09 GMT
Apply Pharmacy Svcs Rep I Here