Pharmacy Technician/Customer Service Representative

Express RX Pharmacy and Medical Supplies is a small business in Los Angeles, CA. We are professional, agile, fast-paced and our goal is to Our goal at Express RX Inc. is simple: extraordinary product quality and customer service. We accomplish this by observing a common set of values and by partnering with organizations that have the finest reputation for quality. There are no shortcuts; we believe that our goals are accomplished only with a real commitment from every employee.

A Pharmacy Technician specializing in Insurance Verification Processing plays a crucial role in ensuring the smooth and efficient operation of a pharmacy by managing the insurance verification process. This role involves collaborating with healthcare providers, patients, and insurance companies to confirm coverage details, process claims, and facilitate accurate billing procedures.

Responsibilities:

Insurance Verification: Obtain and verify insurance information from patients.
Contact insurance companies to confirm coverage, co-payments, deductibles, and any prior authorizations required for prescription medications.

Claim Processing: Input accurate insurance and patient information into the pharmacy system.
Process prescription claims electronically or through appropriate channels.
Resolve any issues related to rejected claims and resubmit as necessary.

Communication: Collaborate with healthcare providers and prescribers to gather additional information or clarification on prescriptions.
Communicate effectively with patients regarding insurance-related matters and assist in resolving any concerns or questions.

Documentation: Maintain detailed and accurate records of insurance verifications and claim processing activities.
Ensure compliance with privacy regulations and document any necessary authorizations.

Problem Resolution: Identify and address issues related to insurance coverage, billing discrepancies, and other payment-related concerns.
Work closely with the billing department to rectify any outstanding issues promptly.

Stay Informed: Stay updated on changes in insurance policies, procedures, and regulations.
Attend training sessions to enhance knowledge of pharmaceutical and insurance industry updates.

Customer Service: Provide excellent customer service by addressing inquiries, concerns, and requests from patients and healthcare professionals in a timely and professional manner.

Collaboration: Collaborate with pharmacy staff, including pharmacists and other technicians, to ensure a seamless workflow and patient care experience.

Requirements:

• High school diploma or equivalent; pharmacy technician certification is preferred.
• Proven experience in insurance verification and processing within a pharmacy setting.
• Strong knowledge of insurance terminology, coverage types, and billing procedures.
• Excellent communication skills and the ability to interact with diverse stakeholders.
• Attention to detail and accuracy in data entry and documentation.
• Familiarity with pharmacy software and systems.
• Ability to adapt to changes in insurance policies and industry regulations.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• No nights
• Overtime
• Weekends as needed

Experience:

• Pharmacy technician experience: 1 year (Required)

Work Location: In person