Job Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.

The Associate Pharmacy Care Technician will effectively support the successful implementation and execution of all pharmacy programs and processes. This position will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Associate Pharmacy Care Technician will be responsible for determining eligibility of members applying for the Medical Assistance Program (MAP). This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

* Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e - mail box or fax
* Coordinates and assists initial screening of MAP enrollment requests via all communication venues; as well as administrative preparation for clinical staff
* Conducts in - bound and out - bound calls for program requirements including, but not limited to: patient scheduling, surveys / screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
* Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
* Collects and maintains eligibility information in an appropriate and confidential manner
* Interviews applicants by phone for program requirements
* Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly
* Exhibits excellent phone and communication skills while providing complete and accurate information to customers
* Requests additional or supplemental information via correspondence in order to complete applications
* Adheres to assigned schedule and quality metrics
* Uses a multi - lined telephonic system to answer calls regarding eligibility requirements
* Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process
* Completes calls / assignments and ensures census management, productivity weekly and monthly standards are met
* Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
* Provides excellent customer service by serving as a resource to all internal and external customers
* Attends required meetings and participates in special committees as needed
* Comply with all organizational policies regarding ethical business practices
* Adhere to all department policies and procedures
* Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
* Maintain strict confidentiality at all times to include but limited to patients and coworkers
* Comply with all organizational policies regarding ethical business practices
* Adhere to all department policies and procedures
* Performs other duties as assigned

Hours: Monday - Friday rotate 8am - 5pm or 9am - 6pm, Saturday 9am - 1pm every 12 weeks

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

* Certified Pharmacy Technician (CPhT)
* High school diploma or GED
* 1+ years of administrative support experience
* 6+ months of experience in a medical setting
* Basic knowledge of Microsoft Office products, including Word and Outlook
* Medical terminology knowledge base
* Ability to work independently, with some supervision and direction from manager
* Demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
* You will be required to adhere to UnitedHealth Group's US Telecommuting Policy
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

* Certified Medical Assistant training or certification
* 2+ years of experience in a physician's clinic or hospital
* Bilingual language proficiency (English / Spanish)

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Colorado Residents Only: hourly range for Colorado residents is $15.00 to $22.02. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: customer service, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims,