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Patient Care Advocate Denver CO

WellDyne, Inc. has been in the health services business for over 22 years.  WellDyne is the umbrella company that oversees nine divisions:  WellDyneRx, US Specialty Care, NetCard Systems, CF Pharmacy Services, WellMailRx, WellCardRx, WellCard Health, Covance Pharmacy and Rx Care Club. This position is based in Denver, CO.

WellDyneRx® is a national pharmacy benefit management company that serves its health plan members by providing custom solutions to their pharmacy benefit needs.  Incredible service is delivered through a retail network of over 64,800 nationwide pharmacies.  In addition, two full-service mail order facilities operate with state-of-the-art robotics technology, providing the capacity to accurately fill 35 million prescriptions per year. 

Founded in 1990, WellDyne has evolved from a dispenser of respiratory medications for Medicare patients to a multi-faceted provider of health improvement services

US Specialty Care Pharmacy (USSC) has been servicing Welldyne and partner PBM members for over 10 years. USSC specializes in critical disease states such as multiple sclerosis, rheumatoid arthritis, oral chemotherapy, Crohn’s disease, psoriasis, and HIV. Most of our medications are easily perishable, and require to be shipped at controlled temperatures. Our medications are shipped UPS next day, and require a high level of care and accuracy.

Position Summary:

Maintains a high level of interaction with US Specialty Care Pharmacy patients and physicians to ensure prescriptions are being filled and delivered correctly, and that the patient is taking the medication properly.  

Essential Functions:

  • Acts as a liaison between US Specialty Care Pharmacy, patients and the provider’s office
  • Responsible for ensuring all necessary information, including insurance verification is available to process prescription orders
  • Assist in collecting clinical outcomes data from patients and assist in tracking the data within the software system.
  • Responsible for explaining company programs and services to patients and provider’s office staff
  • Communicates with patient for prescription refills
  • Refers any medication or illness related question or concerns to a board licensed healthcare professional
  • Responsible for processing of prescription refills through pharmacy dispensing software
  • Maintains documentation of calls to and from patients and providers
  • Contacts patients to schedule deliveries, confirm address, inform of any co-payment information, and notify of payment responsibilities
  • Assists with prior authorizations
  • Refers under/uninsured patients to appropriate patient assistance programs and assists with applications
  • Keeps current with new treatment trends
  • Communicates patient status to provider’s office/clinics
  • Maintains patient confidentiality
  • Performs other duties and responsibilities as assigned

Education:

  • Preferred-national certification(CPhT)
  • High School Diploma or equivalent
  • Required-meet all state requirements of national certification (CPhT) or other board approved training program if required by the state in which they are employed.

Experience:

  • One year related customer service experience
  • Previous insurance experience and medical or pharmacy background is preferred

Skills:

  • Time management
  • Oral and written communication skills

Customer service skills

  • Ability to multi-task and be detail oriented
  • Ability to work efficiently without creating distraction or disruption to other employees
  • Ability to relate well and communicate effectively with other employees and patients
  • Ability to work well with various personalities and work as a team
  • Should be independent and self-motivated
  • Ability to work and accomplish goals with little to no supervision

Organizational skills

  • Must be dependable and maintain levels of confidentiality
  • General knowledge of internet navigation and research
  • Knowledge of e-mail, fax transmission and copy equipment are essential

Environmental/Working conditions:

This position is in a typical office environment which requires prolonged sitting and standing in front of a computer.  In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment.  May have occasional high stress when dealing with customers/clients and employees.  This position may be required to work long hours.   

 

EOE M/F/D/V

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