Member Services Representative AdventHealth RxPlus
Location Address: 582 Monroe Rd Suite 1412 Sanford, FL 32771
Top Reasons To Work At AdventHealth RxPlus
Immediate Health Insurance Coverage
Career growth and advancement potential
Full-Time, Monday – Friday
You Will Be Responsible For:
Reviews all incoming faxes through pharmacy software and logs according to pharmacy guidelines; assuring that all member information is logged accurately.
Reviews all second refill attempt requests against pharmacy software in a timely manner to determine appropriate prescription follow up; faxing physician a second time or reaching out to the member.
Follows up with member regarding any denied refill request, no responses to the fax, or if clarification is needed for physician information in a timely manner.
Sorts and counts all new and refill faxes received for the day and communicates with appropriate staff member/department.
Follows guidelines when faxing refill requests and sending electronic requests to physician’s offices. Troubleshoots any outgoing fax rejections and researches; follows up with team as necessary.
What You Will Need:
High School diploma or equivalent
2 years previous customer service experience
Previous experience in mail-order, medical, or healthcare related area, preferred
The Member Services Representative performs a wide range of duties to support the members of the AHS Corporate Prescription Plan regarding plan questions and mail-order pharmacy requirements. Primary and shared duties include, but are not limited to, patient outreach and education, extensive data entry, compiling, reconciling and maintaining records. The Member Services Representative’s primary duties are divided amongst three team positions as described further and assigned by the Member Services Manager. This position works directly with patients and is required to understand multiple aspects of the facility and its processes to ensure accurate information and provide exceptional service to members. Additional duties may include assisting with answering incoming phone calls, if needed and when deemed necessary by leadership, as well as assisting with other areas of the department as needed. Works only under the supervision of a registered Pharmacist and does not perform duties that can only be legally performed by a registered Pharmacist or registered Pharmacy Technician.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.