Job description
Looking for something BETTER? So were we! That’s why TrueScripts was created.
But “better” didn’t stop there. That’s why we’re now looking for YOU!
What We’re About…
TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care.
Did we mention Amazing Care? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy. And there is a reason that our company was just named the #1 Best Place to Work (for medium-sized employers) in Indiana!
Our team members enjoy:
- Robust benefits and a strong salary
- Employee Assistance Program
- Wellness Program
- Dream Manager Program (yes, it’s a real thing!)
- A cohesive, family-based culture
- Charitable contributions
- Lots of celebrations!
Ok, enough about us. Here’s what we need from you:
**This is a full-time remote work position.**
What you’ll do
In a few words
The Customer Service Representative (Member Care) is responsible for performing all tasks relative to in-house and external communications with TrueScripts clients and members. Response to member and client inquiries assists members with appropriate prescription benefits, and the problem solves any issues in the claims system. Provides administrative support to Clinical Care, Account Management & Executive teams. Most importantly-Provide amazing care to those who call and need our help and/or service.
The fundamentals for the job
- Account Inquiries & Claims Processing
- Receive phone calls/emails from members, clients, pharmacies, and/or physician offices
- Troubleshoot claim processing problems and/or inquiries in the claims adjudication system
- Respond to website inquiries
- Become proficient in all aspects of the claims adjudication system
- Communicates problems and concerns to the manager
- Clinical Care Support
- Complete new/renewal Prior Authorization requests for specialty & non-specialty drugs
- Reach out to members to assist in a change of Rx to a more cost-effective generic alternative
- Assist members needing copay assistance for brand medications
- Create/mail Brand Care letters
- Account Support
- QA testing for client transitions/changes
- Complete the pharmacy contact sheet for fax notifications
- Performs other duties as assigned
Requirements:
What you’re made of
The bold requirements
- Customer service experience
- Knowledge of claims processing helpful
- Analytical thinking and attention to detail
- Excellent communication and customer relations skills
- Problem-solving skills
- Ability to multi-task and prioritize in an ever-changing environment
- Strong computer skills including Microsoft Office (Excel, Word, PowerPoint, Outlook)
- High School Diploma and/or college degree in a related field preferred
- Pharmacy technician experience preferred
Must be located near Phoenix, Arizona, and/or in the Mountain time zone.
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