Specialty Pharmacy Representative - Fulfillment

Jefferson Health

King of Prussia, Pennsylvania, United States
Claim adjudication and review
Benefit investigations
Financial assistance applications
The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians and pharmacists in the completion of claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients

Job Summary

  • The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians and pharmacists in the completion of claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients.
  • Responsibilities include entering the patient information; name, date of birth, insurance information, allergies and medication history into our therapy-specific patient assessment software.
  • Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits.

Matching Summary

The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians and pharmacists in the completion of claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients.

Skills & Requirements

Must-have

  • Claim adjudication and review
  • Benefit investigations
  • Financial assistance applications
  • Refill and adherence activities
  • Patient information entry
  • Prescription filling and distribution
  • Schedule medication delivery
  • Assess patient need for intervention
  • Identify barriers to care
  • Track and monitor deliveries
  • Computer and Microsoft applications proficiency
  • Type 35 wpm

Nice-to-have

  • Listen skillfully and build trust
  • Respond compassionately
  • Multi-task between issues
  • Problem solve complex conflicts
  • Proactively document trends
  • Adapt to changes
  • Handle difficult conversations professionally

Key Requirements

  • High School Diploma or GED equivalent preferred
  • AS/BS degree preferred
  • Certified Pharmacy Technician (CPhT) preferred
  • 3+ years experience in customer service
  • 1+ years experience in specialty pharmacy or healthcare environment
  • Experience with clinical software systems
  • Specialty Medications and Medicare billing highly preferred

Work Rights

Not specified

Tailored Resume

Cover Letter