Case Manager (Finance)
Overview
Continued growth at Maxor has created an opportunity for a Case Manager to join our growing Specialty Pharmacy. This is an excellent opportunity for a Pharmacy Technician with retail pharmacy experience to make a positive impact in the lives of the patients we care for, working with a devoted pharmacy operations team.
Our Company
We're Maxor and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.
Our Locations
The Maxor workforce brings robust experience, diverse perspectives and passion from over 1,000 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices.
Responsibilities
- Obtains copy of prescription drug card to be filed in the electronic chart
- Ensures the accuracy of all patient demographic information in the pharmacy system.
- Sets up patient copay assistance and foundation support when necessary.
- Works orders daily to ensure the most efficient turnaround time; keeps patients, prescribers and sales team (if needed) abreast of any issues or delays in treatment.
- Contacts patients to schedule initial shipments.
- Educates patients on device maintenance, if applicable under the direction of the pharmacists.
- Completes Case Management Assessment on all new patient referrals.
- Creates initial and ongoing clinical assessments to be completed by the pharmacists.
- Creates delivery tickets, ensures correct shipment address and adds appropriate medication administration supplies (if needed) to each shipment.
- Obtains method of payment from each patient for any financial obligation owed by the patient and loads the information into CPR+ for future use.
- Completes accurate dates on each delivery ticket and makes the shipment 'Ready to Fill'.
- Sends status update word merge documents to prescriber as needed.
- Answer incoming calls as assigned and as transferred
- Responsible for managing the following Ques in the SPRX list:
- - Claims to Adjudicate - New Rx's
- - Benefits Verification - New Rx's
- Patients to Contact - New Rx's
- Patients to Contact - New Rx's
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WORK SCHEDULE:
- Monday through Friday, 8 hour shifts during regular pharmacy hours
- Additional hours as required
- Rotating on call responsibilities may be required
Qualifications
Education
- High School diploma or equivalency
- Registered/Certified Pharmacy Technician as required by applicable SBOP
- One - two year's relevant experience.
- Any combination of the necessary knowledge, skills, and abilities.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Working knowledge of computer software, specifically Microsoft Office and Outlook
- Ability to accurately enter data into a computer system
- Ability to prioritize work to meet deadlines
- Ability to multi-task and work accurately under pressure
- Ability to work through and solve problems independently
- Positive attitude, innovative, self-starter
- Excellent organizational and communication skills, both written and verbal
WHY MAXOR?
Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients' lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care .
WE OFFER : A diverse, progressive culture that supports a work from home model, a "dress for your day" attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
- Company paid basic life/AD&D, Short-term and Long-term disability insurance
- Rx, dental, vision, short-term disability, and FSA
- Employer-matched 401k Plan
- Industry leading PTO plan
- And MORE!
Please apply online at: https://careers-maxor.icims.com/
