Data Entry Specialist entering medical claims into the DHS MMIS system at HMS. Collaborating to ensure efficient processing of documents with attention to detail in Anchorage, AK.
About the role
- Part-Time Pharmacy Technician ensuring accurate prescription data entry in a virtual environment. Delivering excellent member experience while verifying information and processing authorizations.
Responsibilities
- Verifies member information and inputs data for the pharmacists
- Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs
- Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations
- Provides resolution to grievances and appeals issues
- Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits
Requirements
- Requires H.S. diploma or equivalent
- Minimum of 1 year of pharmacy experience
- Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required
- Retail or mail-order background highly preferred
- Tech savvy-ness highly preferred
- Microsoft Teams proficiency
- Ability to work and troubleshoot independently
Benefits
- Health insurance
- 401(k) +match
- Paid Time Off
- Incentive bonus programs
- Short and long term disability benefits
- Life insurance
- Wellness programs
- Financial education resources
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