AllianceRx Walgreens Prime Enterprise Triage Coordinator in Frisco, Texas
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Enterprise Triage Coordinator
AllianceRx Walgreens Prime delivers maintenance medicines and specialty medicines through its mail service and central specialty pharmacies. Formed in 2017 through a strategic alliance between Walgreens, one of the nation’s largest chain drug stores, and Prime Therapeutics, a leading pharmacy benefit manager (PBM), we offer tools and resources to help patients improve medication adherence, 24/7 pharmacy support for exceptional care. The company is headquartered in Orlando, FL and its pharmacies are accredited by several national pharmacy accreditation services.
Desired qualifications, skills and experience:
Pharmacy Technician License or Certification preferred unless required by state as granted by the state Board of Pharmacy or nationally recognized certification agency.
At least 1 year of experience in call center experience
Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show)
Experience in a healthcare or pharmacy setting
Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations.
At least 1 year experience in obtaining prior authorizations, pharmacy benefit or medical billing experience
AllianceRx Walgreens Prime is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
If you'd like more information about your EEO rights as an applicant under the law, please review EEO is Law and the EEO is Law Supplement
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If you need an accommodation or assistance in using the AllianceRx Walgreens Prime Careers website, please click here .
Assists with inbound and outbound triage requests for Local Specialty and Retail (Orlando) and routing to the most appropriate location for fulfillment. The Enterprise Triage Team (ETT) is a dedicated team that closely communicates with Central Operations, Local Specialty and Orlando and ensures triages are processed in a timely manner. This position will also interact with patients, physicians, as appropriate.
Records and processes orders or inquiries receivied by fax, mail, telephone, and/or through patient direct contact.
Provides timely response to patients' inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards.
Provides correct information or directs the call to the appropriate team member or department while maintaining a high level of professionalism
May assist in creating referrals for inbound triage prescriptions
Assists in the intake Prep stage for Triaged referrals, including adding/updating prior authorization information and calling payers to update prior authorizations, as appropriate.
May assists with the reporting on triage inbound and outbound requests.
Required qualifications, skills and experience:
HS Diploma/GED and at least 1 year of experience as a Pharmacy Technician or 6 months specialty pharmacy experience.
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Basic Internet Explorer skills experience to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online
Basic level PC skills experience (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents, access information on-line, etc.).
Willing to work mandatory extra hours, this may include evenings, weekends and/or hours outside of normal business hours.