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Certified Medical Assistant
Carenet Health. Receive and respond to prescription refill requests through phone, email, fax, and Telephone Encounter .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive knowledge of Medicare Part D, HIPAA Privacy and Security Rules, and pharmacy operations while providing exceptional customer service and administrative support in a retail pharmacy environment.
Highest-signal resume keywords
Medicare Part D KnowledgeHIPAA CompliancePrescription Refill ProcessingData Analysis and ReportingCustomer Service Excellence
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prescription VerificationPharmacy Record ReviewClaims ProcessingBasic Algebra CalculationData CompilationMedication Refill ProtocolsRegulatory Guidelines InterpretationMicrosoft Office ProficiencyKeyboarding SkillsMulti-Line Phone System Operation
Soft Skills
Effective CommunicationProblem-SolvingAttention to DetailJudgment SkillsCollaboration
Tools & Technologies
Company SoftwareEmailInternet
Certifications & Qualifications
High School Diploma or GEDCurrent Unrestricted LicenseMedical Assistant CertificationRegistered Medical Assistant Registration
Industry Keywords
Retail PharmacyMedicare Part BClaims BillingReimbursement RulesQuality MetricsInterdisciplinary Collaboration
About the role
Key responsibilities & impact- Receive and respond to prescription refill requests through phone, email, fax, and Telephone Encounter
- Verify the validity and accuracy of prescription refill requests in compliance with regulatory guidelines
- Prepare and dispense prescription refills accurately and efficiently according to organizational protocols
- Provide clear and comprehensive information and exceptional customer service to internal and external stakeholders
- Compile and analyze data, track key performance indicators, present findings to departmental leadership, and identify trends
- Adhere to assigned schedules and quality metrics while maintaining productivity and efficiency
- Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs
- Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes
Requirements
What you’ll need- Minimum of High School Diploma or GED
- Minimum of three years’ experience in a retail pharmacy
- Extensive knowledge of Medicare Part D, particularly pharmacy record review, claims, billing and reimbursement rules
- Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
- Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
- Ability to read, analyze, and interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations
- Ability to effectively present information and respond to questions
- General writing skills and ability to produce work free from typographical or spelling errors
- Ability to calculate figures and amounts and apply concepts of basic algebra
- Ability to deal with and solve problems using solid judgment skills
- Basic PC and keyboarding skills required
- Working knowledge of Microsoft Office, Internet and e-mail
- Current, unrestricted license required
- Medical Assistant certification by the American Association of Medical Assistants or registration as a Registered Medical Assistant by the American Medical Technologists
- Bilingual and National Certification preferred
- Ability to handle multiple-line phone systems, pagers and paging systems preferred
Benefits
Comp & perks- Health, dental, and vision insurance
- A 401(k) plan with company match
- Paid time off (PTO) and holidays
- Flexible spending accounts (FSAs)
- Employee wellness programs
- Career development opportunities