Respond to inbound inquiries from providers, medical office staff, and payers by phone, email, and internal messaging
Support providers with real-time order status updates, prescription processing steps, and plan-specific requirements
Triage escalations and resolve urgent or complex order-level issues efficiently
PHIL is a Series D health-tech startup building a platform that interfaces between doctors, pharmacies, and patients to streamline the process of patients receiving prescriptions. The team at PHIL is a group of like-minded individuals from varying backgrounds, passionate about creating a new and innovative healthcare platform that is focused on patient experience and overall human wellbeing.
Conduct outbound telephone outreach to patients and engage patients in pharmacist-led consultations.
Serve as a liaison between patients and pharmacies to resolve medication barriers.
Collaborate closely with Care Management Pharmacists to support medication adherence initiatives.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Initiate communication to communities regarding expensive and non-formulary medication orders.
Keep detailed records of all orders that require communication to the community.
Review Medicare D rejections and prior authorizations, and coordinate with pharmacists or physicians.
Symbria Rx Services delivers patient-centered care to the geriatric population in senior-living and post-acute settings. As one of the few 100% employee-owned companies in healthcare, our business practices are guided strictly by the values to which our employee owners are committed to.
Conduct MTM and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS).
Develop appropriate clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services.
Provide Medicare Part D clinical, operational and educational support by maintaining knowledge of all existing updates and regulations regarding the MTM program.
Navitus is an organization that was founded as an alternative to traditional pharmacy benefit manager (PBM) models. They are committed to removing cost from the drug supply chain to make medications more affordable for people; Navitus welcomes new ideas and shares a passion for excellent service to customers and each other.
Receive and respond to prescription refill requests through various communication channels.
Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, it delivers positive healthcare experiences and improves outcomes.
Utilizes remote order entry and order verification.
Serves as a consultation resource to medical and nursing staff.
Ensures safe, appropriate, cost effective medication therapies for patients.
Dartmouth Health actively engages in clinical and technological decisions that directly impact patient lives while competently servicing clients. Staffers utilize specialized software and communications platforms that create a vibrant community of connected professionals.
Directly lead and manage a Patient Support team to ensure medication adherence or provide timely prior authorization and financial assistance.
Proactively manage support in assigned hospitals/clinics to ensure patients receive medications on time and that all service level goals are met.
Manage all aspects of ADP, Paid Time Off (PTO), and Time Reports for team members while completing audits of the team in supported systems.
Shields Health Solutions provides specialty pharmacy management services, helping patients get medications on time. They are a fast-growing company that values motivated self-starters focused on high quality.
Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
Build rapport with families, healthcare providers, and insurance companies in a compassionate manner.
Educate potential families about evaluation, treatment, and insurance processes.
Provide excellent customer service and expedite the process for families.
Cranial Technologies researches and treats plagiocephaly (commonly called flat head syndrome). They have treated over 300,000 babies with the DOC Band® and are the leader in pediatric cranial shaping orthoses. They also provide treatment with EarWell® to correct infant ear shapes without surgery, with 600,000+ successful outcomes.
Manage incoming messages, route to appropriate recipients, and answer questions.
Contact pharmacies, proactively or by returning voicemails, regarding prescriptions.
Update patient medical records, including documenting medical history and arranging lab services.
FOLX Health is the leading health and wellness platform for LGTBQIA care, providing end-to-end services virtually and in person. They foster a culture of reliability, transparency, access, and agency, trusting their team to achieve individual goals.
Develop and maintain protocols for prescribing, dispensing, and administering medications.
Contribute to the efficient delivery of care by participating in quality improvement initiatives.
Educate patients about medications, side effects, interactions, and therapeutic effects.
Better Health Group's mission is Better Health, with a passion for helping others. Their Team Members support providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for their patients.