TrueScripts Management Services
DescriptionLooking 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 aboutTrueScripts 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 salaryEmployee Assistance ProgramWellness ProgramDream Manager Program (yes, it's a real thing!)A cohesive, family-based cultureCharitable contributionsLots of celebrations!Ok, enough about us.
Here's what we need from you:
What you'll doIn a few wordsThe Clinical Care Representative is responsible for performing all clinical tasks relative to in-house and external communications with TrueScripts clients, members, pharmacies, and physicians.
This role responds to clinical inquiries, prior authorization requests, and paper claims requests, analyzes data, assists members with prescription benefits, and problem-solves in the claims system.
Additional responsibilities include logging and preparing client invoices and providing administrative support to management.
The fundamentals for the jobAccount Inquiries & Claims Processing Receive phone calls/emails/faxes from members, clients, pharmacies, and/or physician offices.
Assist Member Care Representatives with clinical callsTroubleshoot claim processing problems and/or inquiries in the claims adjudication systemRespond to website inquiriesComplete Prior Authorization requestsBecome proficient in all aspects of the claims adjudication systemCommunicates problems and concerns to the managerConsulting Services Support Work with Rx data in Excel and/or TrueScripts dashboardReach out to members to assist in a change of Rx to a more cost-effective generic alternativeProvide members with co-pay assistance for brand and specialty medicationsAct as patient advocates when excluded medications are identified - communicate effectively with all parties involvedClaims Logging, Invoicing & Reporting Log Specialty Care, Brand Care, Paper Claims, and Fee for Prior Authorizations on SharePointLog Specialty and Non-Specialty Prior Authorization approvals on SharePointPrepare and send weekly/monthly invoices to the Accounting teamDocument actions and outcomes in the client databaseAdministrative Support Identify process/procedure improvements and update documents on SharePointSchedule meetings/conference calls as requestedAssist with creating/updating marketing materials in Publisher/WordAssist Data Analytics team with report preparation for client annual reviews in ExcelPerforms other duties as assignedRequirementsWhat you're made ofThe bold requirementsEducation:
Associate degree - related field preferred, but not requiredLicenses and Certification:
Active pharmacy technician preferred, but not requiredThat something extra we d love to seeTwo years of applicable experience preferredExperienced pharmacy tech experience preferred but not requiredKnowledge of claims processing helpfulAnalytical thinking and attention to detailProblem-solving skillsExcellent communication and customer relations skillsAbility to multi-task and prioritize in an ever-changing environmentStrong computer skills including Microsoft Office (Excel, Word, PowerPoint, Outlook)About the Company:
TrueScripts Management Services.
Estimated Salary: $20 to $28 per hour based on qualifications.
But better didn't stop there.
That's why we're now looking for YOU!What we're aboutTrueScripts 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 salaryEmployee Assistance ProgramWellness ProgramDream Manager Program (yes, it's a real thing!)A cohesive, family-based cultureCharitable contributionsLots of celebrations!Ok, enough about us.
Here's what we need from you:
What you'll doIn a few wordsThe Clinical Care Representative is responsible for performing all clinical tasks relative to in-house and external communications with TrueScripts clients, members, pharmacies, and physicians.
This role responds to clinical inquiries, prior authorization requests, and paper claims requests, analyzes data, assists members with prescription benefits, and problem-solves in the claims system.
Additional responsibilities include logging and preparing client invoices and providing administrative support to management.
The fundamentals for the jobAccount Inquiries & Claims Processing Receive phone calls/emails/faxes from members, clients, pharmacies, and/or physician offices.
Assist Member Care Representatives with clinical callsTroubleshoot claim processing problems and/or inquiries in the claims adjudication systemRespond to website inquiriesComplete Prior Authorization requestsBecome proficient in all aspects of the claims adjudication systemCommunicates problems and concerns to the managerConsulting Services Support Work with Rx data in Excel and/or TrueScripts dashboardReach out to members to assist in a change of Rx to a more cost-effective generic alternativeProvide members with co-pay assistance for brand and specialty medicationsAct as patient advocates when excluded medications are identified - communicate effectively with all parties involvedClaims Logging, Invoicing & Reporting Log Specialty Care, Brand Care, Paper Claims, and Fee for Prior Authorizations on SharePointLog Specialty and Non-Specialty Prior Authorization approvals on SharePointPrepare and send weekly/monthly invoices to the Accounting teamDocument actions and outcomes in the client databaseAdministrative Support Identify process/procedure improvements and update documents on SharePointSchedule meetings/conference calls as requestedAssist with creating/updating marketing materials in Publisher/WordAssist Data Analytics team with report preparation for client annual reviews in ExcelPerforms other duties as assignedRequirementsWhat you're made ofThe bold requirementsEducation:
Associate degree - related field preferred, but not requiredLicenses and Certification:
Active pharmacy technician preferred, but not requiredThat something extra we d love to seeTwo years of applicable experience preferredExperienced pharmacy tech experience preferred but not requiredKnowledge of claims processing helpfulAnalytical thinking and attention to detailProblem-solving skillsExcellent communication and customer relations skillsAbility to multi-task and prioritize in an ever-changing environmentStrong computer skills including Microsoft Office (Excel, Word, PowerPoint, Outlook)About the Company:
TrueScripts Management Services.
Estimated Salary: $20 to $28 per hour based on qualifications.
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