Equity Staffing is searching for a Pharmacy Technician in San Antonio, TX. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you!

Responsibilities
Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an autodialer requiring precision to detail and adaptability to the type of response needed.
May answer inbound calls from members and assists them with their inquiries. Routes calls to the appropriate department if necessary.
Follows system scripting and validates member demographic information.
Documents the provider or member's record with accurate information obtained on the call.
Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate.
Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues.
May serve as a subject matter expert for the Pharmacy team and mentor new employees to the team as necessary.
Participates in and contributes to the overall pharmacy quality improvement initiatives.
Collects and maintains eligibility information in an appropriate and confidential manner.
Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly.
Exhibits excellent phone and communication skills while providing complete and accurate information to members.
Requests additional or supplemental information via correspondence in order to complete applications.
Adheres to assigned schedule and quality metrics.
Uses a multi-line telephone system to answer calls regarding eligibility requirements and medication refill orders.
Follows all policy and procedures for the Medical Assistance Program

Required Qualifications
Certified Pharmacy Technician (CPhT)
Minimum of High School Diploma or GED
Minimum of two years of experience in a pharmacy setting with an additional 1 year of experience in a customer service setting.
Extensive knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
General writing skills and ability to produce work free from typographical or spelling errors.
Working knowledge of Microsoft Office, Internet and e-mail

Preferred Education, Experience & Skills
Bilingual
PBM experience
Advanced knowledge of NCPDP and other types of prescription drug claims is required
Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies Previous retail pharmacy experience
Previous Call Center experience


Equity Staffing Native American owned staffing companies in the United States. We are a certified Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC) and the Rocky Mountain Minority Supplier Development Council (RMMSDC).

Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

We welcome you to learn more about our company by visiting www.equitystaffing.com