Full Job Description
Provides individualized service to new and existing Manufacturers/HUBs/patients in relation to their prescriptions, clinical services and program inquiries. This position is responsible for processing referrals from initial approval, through verification and shipment in compliance with contractual requirements and will understand manufacturer established eligibility criteria, including but not limited to calculating household income and applicable% of Federal Poverty Guidelines (FPL).
Job Responsibilities:
- Serves as the single point of contact for manufacturers and HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate.
- Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions.
- Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals.
- Processes NMDP referrals from intake through order stages, including sending delivery tickets to NMDP to ensure protocols for program are followed; participates on standard cadence calls with the manufacturer to discuss referrals in process, issues and queries related to the program.
- Completes monthly benefit investigation to determine patient's eligibility for patient assistance programs (PAP), including review of patient financial documents.
- Consults with the pharmacists to make them aware of any changes in a patient's condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed.
- Assists with patient activities, including follow-up calls for patient's next order/refill, initiate the discharge of patient from services, contact a patient's doctor's office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient's care.
- Other responsibilities as judgment or necessity dictate.
Walgreens (www.walgreens.com) is included in the U.S. Retail Pharmacy and U.S. Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader with a 170-year heritage of caring for communities. WBA’s purpose is to create more joyful lives through better health. Operating nearly 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, Walgreens is proud to be a neighborhood health destination serving nearly 10 million customers each day. Walgreens pharmacists play a critical role in the U.S. healthcare system by providing a wide range of pharmacy and healthcare services, including those that drive equitable access to care for the nation’s medically underserved populations. To best meet the needs of customers and patients, Walgreens offers a true omnichannel experience, with fully integrated physical and digital platforms supported by the latest technology to deliver high-quality products and services in communities nationwide.
The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits.
"An Equal Opportunity Employer, including disability/veterans".
- High school diploma from an accredited school or equivalent GED
- Experience providing excellent customer service
- Excellent written and verbal communication abilities
- Ability to prioritize and manage multiple responsibilities
- Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary
- Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations
- Must have an active pharmacy technician license or certification as required by state Board of Pharmacy.
- At least 1 year of experience in patient care, healthcare, retail, or customer service oriented role
- Strong attention to detail
Job Information
Job Category:
Customer Service
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