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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient onboarding, benefit verification, and reimbursement processes while effectively communicating with patients and providers. Proficient in managing workflows using electronic medical records and optimizing reimbursement strategies to enhance patient outcomes.
Highest-signal resume keywords
CPhT CertificationPatient Financial ServicesBenefit VerificationInsurance/Claims ProcessingMicrosoft Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient OnboardingBenefit VerificationPrior AuthorizationReimbursement OptimizationPrescription FulfillmentPatient Assistance ProgramMedical Records/BillingPharmaceutical Products KnowledgeAnalytical SkillsAttention to Detail
Soft Skills
Effective CommunicationStrong Organizational SkillsInterpersonal SkillsProblem-SolvingAbility to Work Under Pressure
Tools & Technologies
Electronic Medical RecordsWorkflow Management SystemsMicrosoft Word
Certifications & Qualifications
Pharmacy Technician Certification Board (PTCB)
Industry Keywords
Ambulatory PharmaciesSpecialty PharmaciesOutpatient Infusion CentersPatient Access ManagementReimbursement Barriers
About the role
Key responsibilities & impact- Perform patient onboarding, benefit verification, prior authorization, financial assistance, and appeals processes
- Facilitate prescription fulfillment between doctors’ offices and pharmacies
- Provide services for ambulatory pharmacies, specialty pharmacies, and outpatient infusion centers
- Interact with patients and providers to obtain insurance benefits and patient information
- Obtain and maintain reimbursement-related information and documentation
- Obtain signatures and documentation for Patient Assistance Program applications
- Complete patient adherence activities, including refill notifications and prescription delivery coordination
- Use electronic medical record and other systems to manage workflows and document activities
- Increase prescription capture, ensure timely infusion medication delivery, improve patient outcomes, and reduce readmissions
- Resolve reimbursement barriers and provide updates to the Patient Access Management team
- Build relationships with clinic staff, pharmacy, and hospital contacts
- Assist with reimbursement optimization projects
- Communicate patient and provider feedback to management for process improvement
- Interface with key account associates regarding additional Cencora products and services
- Adapt to changes in payer, pharmacy, and patient assistance program processes
- Provide temporary coverage for clients and patients during onsite resource absences
- Perform related duties as assigned
Requirements
What you’ll need- Required CPhT certification
- Pharmacy Technician Certification Board (PTCB) certification is required
- Degree, technical vocational training, or equivalent combination of experience and education
- Broad training in Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations, generally obtained through completion of a 2-year Associate program
- 2+ years of directly related or relevant experience
- Ability to communicate effectively both orally and in writing
- Strong organizational skills and attention to detail
- Ability to work quickly and accurately under time and volume constraints
- Ability to proactively seek solutions under minimum supervision
- Demonstrated competence in Microsoft Excel and Word
- Strong analytical skills
- Strong interpersonal skills
- Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions
- Ability to work clinic hours Monday through Friday, 8:30 am to 5 pm, in EST, CST, or MT time zones
Benefits
Comp & perks- Medical, dental, and vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
- Reasonable accommodations for individuals with disabilities