Job summary
Job post source
This job is directly from Ametros
Job overview
The Pharmacy Technician Specialist at Ametros supports the Authorizations team by managing pharmacy claims and authorizations to ensure compliance and smooth client experience.
Responsibilities and impact
The role involves monitoring and resolving rejected pharmacy claims, following up on authorization requests, contacting members and PBMs to resolve issues, documenting communications, and ensuring compliance with HIPAA and security policies.
Compensation and benefits
The salary range is $23.00 to $25.00 per hour with eligibility for incentive compensation, plus a benefits package including engagement, diversity, and philanthropic initiatives.
Experience and skills
Candidates must be Nationally Certified and State Licensed Pharmacy Technicians with 2+ years in call center or pharmacy settings, proficient in customer service best practices, healthcare information systems, and pharmacy services knowledge, with strong problem-solving and communication skills.
Career development
Employees have opportunities to engage in diversity, inclusion, and philanthropic initiatives fostering a supportive environment for growth and innovation.
Work environment and culture
Ametros promotes a culture of limitless inclusion and belonging, supporting diverse voices and backgrounds while encouraging innovation and passion.
Company information
Ametros innovates healthcare navigation by providing tools to manage medical funds effectively, working with various stakeholders to simplify healthcare for clients.
Team overview
The candidate will join the Member Services Department, specifically supporting the Authorizations team in a fast-paced, team-oriented environment.
Job location and travel
The position follows a Monday to Friday schedule with shifts from 8:30-5pm PST or 11:30-8pm EST, including some weekends and holidays, implying remote or office-based work options.
Unique job features
The role offers the chance to work in a dynamic environment focused on revolutionizing healthcare fund management with a strong emphasis on individual accountability and team support.
Company overview
Ametros is a leading provider of post-settlement medical management solutions, specializing in helping individuals who have received legal settlements manage their future medical care and associated costs. The company generates revenue by offering services like professional administration, which ensures compliance with Medicare and other regulations, and providing tools to help clients save money on medical expenses through discounted rates and streamlined payment systems. Founded in 2010, Ametros has grown to become a trusted partner for injured individuals, attorneys, insurers, and employers, emphasizing innovation and customer-centric care in the legal and healthcare sectors.
How to land this job
Tailor your resume to emphasize your National and State Pharmacy Technician certifications, along with your 2+ years of experience in pharmacy and call center environments, showcasing familiarity with pharmacy benefit industry practices and authorization processes.
Highlight your expertise in managing pharmacy rejected claims, your ability to follow up on authorizations promptly, and your skills in communicating with members and PBMs to resolve complex pharmacy issues, as described in the job responsibilities.
Apply through multiple channels including Ametros' corporate careers page and LinkedIn to maximize your application visibility and increase your chances of landing the role.
Connect with current employees in the Member Services or Pharmacy divisions at Ametros on LinkedIn; initiate conversations by referencing your shared interest in improving patient healthcare experiences or asking about the team culture and challenges they face in managing pharmacy claims.
Optimize your resume for ATS by incorporating keywords from the job description such as 'pharmacy rejected claims,' 'authorization requests,' 'PBM,' 'HIPAA compliance,' and 'customer service best practices' to ensure your resume passes initial screenings.
Leverage Jennie Johnson's Power Apply feature to automate the process of tailoring your resume, finding all relevant application portals, and identifying key LinkedIn contacts, allowing you to focus your energy on preparing for interviews and networking effectively.
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