Pharmacy Clerk
Role Purpose
This role involves making outbound calls to patients and healthcare providers to resolve pharmacy order-related issues, including delivery coordination, payment processing, clinical documentation requirements, and necessary patient consultations.
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Primary Responsibilities:
• Making Outbound calls &/or back-office work.
• Providing excellent customer service, including the ability to handle escalated callers
• Maintaining knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
• Utilizing experience and judgement to plan, accomplish goals and effectively resolve each assigned task
• Performs all other related duties as assigned.Qualifications - External.
Required Qualifications:
• High School Diploma / GED (or higher)
• 2+ years of combined or related experience in a healthcare, call center, and/or customer service setting using the telephone and computer as the primary instrument to perform job duties
• Ability to work one of the varying shifts to support 7am – 7pm Mon-Fri operations
• Proficiency with Microsoft Office Word (create and maintain documents), Excel (create and maintain spreadsheets) and Outlook (email and calendaring) .
Preferred Qualifications:
• Associate’s degree (or higher) in a healthcare related field
• Medical Terminology
• ICD-9/ICD-10 and CPT Knowledge
Telecommuting Requirements:
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable).
• High-speed internet connection .
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Deliver
| No | Performance Parameter | Measure |
| 1 | Process | No. of cases resolved per day, compliance to process and quality standards, meeting process level SLAs, Pulse score, Customer feedback |
| 2 | Self- Management | Productivity, efficiency, absenteeism, Training Hours, No of technical training completed |
Mandatory Skills: Claims_Processing .
The expected compensation for this role ranges from $25,000 to $50,000 .
Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.
Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.
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