About the Role

The Patient and Provider Care experience is an essential part of our mission to build the pharmacy of the future. Our Hub team goes above and beyond for our partners by combining the friendliness of your neighborhood pharmacy with the speed of a fast-moving startup. We believe in changing the traditional pharmacy model for the better to provide a five-star experience.  

Job Description
 

As a Pharmacy Technician II on the Hub Team, you will use your advanced knowledge working in a pharmacy to prepare and submit benefit investigation inquiries using our custom-built pharmacy management system. Additional responsibilities will include troubleshooting complex cases, such as insurance coverage and prior authorizations. You'll also deliver extraordinary customer service while handling patient, provider, or partner escalations via phone, text, chat, and email.

Accelerate Your Career as You

• High-Touch Provider Support: work with providers in navigating pharmacy insurance and inform coverage status for their patients.

• Troubleshoot Benefit Investigation Cases: Ensure documents are compliant to each program’s requirements, and work with insurance companies to obtain coverage eligibility, including 

• Customer Service: Deliver excellent service with a focus on maintaining customer satisfaction

• Communication Across Teams: Engage with other teams to support patient needs and improve the overall experience

• Escalations Management: Handle patient and provider escalations, providing resolution and ensuring satisfaction

• Process Improvement: Provide feedback on common issues or workflow improvements from patient or provider interactions

• Standard Workflow Execution: Follow predefined workflows for fulfilling pharmacy needs, adhering to standard timeframes and processes

• Empathy & Support: Demonstrate empathy in all interactions, focusing on resolving concerns

• Labor Share: In addition to specialized duties, share labor with non-specialized roles by supporting general pharmacy tasks during peak times or when coverage is needed, ensuring smooth operation across both specialized and non-specialized functions.

A Bit About You

Minimum Qualifications:

•  2+ years experience working in a high volume pharmacy

• An active pharmacy technician license in good standing with the Colorado or Texas, free of any disciplinary actions

• Exceptional knowledge of commercial and government insurance and how to troubleshoot claims

• Ability to learn and operate a new pharmacy management system and other relevant equipment

• Ability to interpret, transcribe, and troubleshoot prescription information

• Ability to perform common math calculations 

Preferred Qualifications: 

• Experience with claims adjudication

• Experience submitting and managing Prior Authorizations and TAR's

• Experience navigating insurance and provider phone systems and personnel

 

Additional Information
 

Additional Physical Job Requirements

• Reading English, comprehending, and following simple oral and written instructions.

• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Assessing the accuracy, neatness and thoroughness of the work assigned.

• Communicating with others to exchange information.

• Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.

• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.

• Frequent repeating motions required to operate a computer or phone that may include the wrists, hands and/or fingers.

• Environmental Conditions: occasional exposure to low temperatures or high temperatures, outdoor elements such as precipitation and wind, and noisy environments.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Alto’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary and Benefits:

• Salary Range: $24.00/hr
• Commission Eligible: No
• Travel: No
• Location Requirement: Employment at Alto is limited to individuals residing in AZ, AR, CA, CO, FL, KS, MD, MO, NV, NJ, NY, NC, OR, PA, SC, TN, TX, WA, and WI.
• Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.
• Benefits:Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.
   

  More Benefits Information Here: Fuze Health Benefits Site 

#LI-Onsite

Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com.

Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.

Fuze Health recruiters and hiring managers may use automated decision-making tools to assist with identifying candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. If you have any questions or would like to request an alternative process, please contact us at talent@fuzehealth.com. To learn about Fuze Health’s privacy practices including compliance with applicable privacy laws, please click here.