Answer inbound and outbound calls to schedule and complete medication refills for patients.
Work closely with pharmacists, providers, and care teams to resolve prescription and claim issues.
Maintain accurate patient records and provide friendly, helpful support throughout the refill process.
Shields Health Solutions helps patients manage their medications by connecting them with pharmacy care teams. The company is a growing health solutions provider that values dependability, organization, and patient-focused support.
Support patients by managing prescription refill requests and authorizing renewals based on standing orders.
Receive and triage refill requests from pharmacies and patients, reducing provider time spent on refills.
Communicate effectively with physicians and patients, ensuring consistent turnaround and adherence to care plans.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation providing comprehensive health care services. As an affiliate of one of the largest health systems in the nation, they offer purposeful work settings where staff can advance through challenging assignments.
Coordinate and process medication refills including data entry and claim adjudication.
Place outbound refill calls and assist patients through the refill request process.
Respond to and resolve inbound patient and provider inquiries with empathy.
Shields Health Solutions partners with health systems to deliver specialty pharmacy care. They foster a supportive culture with employee resource groups and wellness programs.
Support pharmacy benefit operations by coordinating clinical and administrative workflows.
Review documentation and communicate with members, providers, and internal stakeholders.
Ensure accurate and compliant processing of pharmacy benefit requests.
We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.
Support Pharmacists and patients by conducting medication reviews and optimizing prescription drug therapy.
Make outbound calls and take inbound calls to collect medication history and provide counseling.
Work remotely with a flexible schedule within EST business hours and participate in training with camera on.
Humana is a leading U.S. healthcare company that provides insurance and healthcare services to millions. With a large workforce, Humana fosters a caring community and supports career growth.
Serve as a primary contact for medication inquiries, triaging calls and portal messages with empathy and urgency.
Facilitate prior authorizations and coordinate follow-up appointments to ensure continuity of care.
Document all interactions using SBAR standards and educate patients on refill policies and adherence.
Mindpath Health is redefining how mental health care is delivered, operating in more than 100 locations across six states with in-person and telehealth services. The team is deeply committed to compassionate, collaborative care and values diversity and inclusion.
Answer new referral intake and refill calls in a timely and professional manner, accurately updating patient information in the computer system.
Contact patients to collect information for medical chart establishment and schedule delivery or shipping arrangements for refills.
Maintain accurate patient records, assist with copay collections, and participate in performance improvement and quality management processes.
VytlOne is a specialty pharmacy company transforming the pharmacy industry through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, and more. They foster a diverse and progressive culture with a remote work model and a team-oriented environment that encourages collaboration and innovation.
Manage end-to-end patient access case activities including benefit verification, prior authorization, appeals, and pharmacy coordination.
Apply pharmacy technician knowledge to review prescriptions, identify barriers, and coordinate with providers, payors, and pharmacies.
Maintain accurate case documentation and communicate effectively with patients, healthcare professionals, and internal teams.
PRO-spectus is a patient services company that strategically navigates the patient access process from prescription intake through treatment initiation. The company fosters a supportive, teamwork-driven culture with a focus on improving patient lives, though its exact size is not specified.
Provides comprehensive medication management and patient counseling through telephone consultations.
Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
Collaborates with healthcare professionals to optimize therapeutic outcomes.
Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.
Assist members, providers, and internal teams in navigating prescription coverage and prior authorization requests.
Verify eligibility, drug coverage, and perform claims adjudication based on plan benefit design.
Triage and prioritize multiple requests, coordinate outreach, and make determinations under protocol.
SmithRx is a health-tech company disrupting the pharmacy benefit management industry with a next-generation drug acquisition platform. With hundreds of thousands of members, they have a mission-driven and collaborative culture guided by values of integrity, courage, and together.
Lead and manage a team of Patient Support Associates to ensure medication adherence through refill management or timely prior authorization and financial assistance.
Manage service level goals, conduct audits, and provide coaching and performance management for a remote Patient Support team.
Collaborate with on-site management at hospital partners for quarterly calls, workflow improvements, and record keeping.
Shields Health Solutions provides specialty pharmacy management services to healthcare organizations. They are a fast-growing company with a close-knit team that values employee development and high-quality patient care.
Serve as a point of contact for patients, families, and healthcare providers to address medication-related problems and answer pharmacotherapy questions.
Ensure accurate, efficient, and compliant medication distribution and fulfillment using proprietary software, including proper documentation and billing.
Oversee pharmacy technicians, review prescriptions, and maintain compliance with state and federal regulations, including HIPAA and quality standards.
AnewHealth is a leading pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, the company was established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare and serves more than 100,000 people across all 50 states.
Verify prescriptions and conduct drug utilization reviews to ensure regulatory compliance.
Review Prior Authorization requests and transfer prescriptions for timely medication delivery.
Collaborate across departments to improve patient health outcomes and adherence.
PHIL is a San Francisco-based health-tech startup building a platform that connects doctors, pharmacies, and patients to streamline prescription management and delivery. The team consists of mission-driven individuals from diverse backgrounds focused on creating an innovative healthcare platform.
Conduct high-volume outbound telephone outreach to patients, introducing the pharmacy service and guiding them through enrollment.
Deliver standardized messaging, obtain consent, and document all activity in the EHR.
Manage outreach queues, meet performance targets, and uphold HIPAA standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture of innovation and patient focus.
Review, process, and troubleshoot incoming Prior Authorization requests for various medications.
Accurately process requests according to regulatory and client-specific guidelines while meeting departmental performance metrics.
Work with clinical teams and handle requests via phone, fax, and web submission.
Navitus is a pharmacy benefit manager (PBM) alternative focused on reducing drug costs to make medications more affordable. The company offers a diverse and creative work environment with numerous employee benefits and growth opportunities.
Process approved physician orders and manage referrals with attention to detail.
Track documentation requiring physician signatures and escalate as needed.
Ensure timely billing and complete EMR files for discharged patients.
CommonSpirit Health at Home is a full-service health care organization that provides home health and hospice services. As a faith-based organization, it is committed to improving patient health and community well-being through compassionate care.
Provide medication prior authorization support for assigned clinics using the Epic In Basket system.
Manage prior authorizations from clinic to pharmacy, including submission, tracking, and follow-up.
Communicate with clinics, pharmacies, and insurance payers to ensure timely approvals and patient access.
UnityPoint Health is a healthcare system delivering medical services across the Midwest. Recognized as a Top 150 Place to Work in Healthcare, it fosters a culture of belonging and supports team members with development and well-being.
Make outbound calls to eligible patients to enroll them in the Shields Partner Pharmacy program and explain the benefits of the service.
Access patient EMR and review chart notes to ensure familiarity with their condition before each call.
Identify medications requiring special handling and necessary supplies such as sharps containers or needles.
Shields Health Solutions is a specialty pharmacy services company that partners with health systems to provide comprehensive pharmacy care. They offer a supportive culture with benefits starting day one and opportunities for professional development.