HEALTHCARE ORGANIZATIONS

Failed Claims Pharmacy Technician

Overview: The Failed Claims Technician contributes to the success of business strategy by collecting and entering broad based information required for timely and accurate processing of prescription orders for our members in support of the customer experience.

Responsibilities:
• Identifies prescription adjudication rejections and researches causes for the rejection
• Follows defined processes to resolve a variety of rejection types
• Maintains high levels of quality and production standards
• Builds Trust – Walks the talk; makes choices that are consistent with ethical principles; is emotionally intelligent; manages self and relationships effectively, through self-awareness, self-management, awareness of others and skill in dealing with others.
• Champions the Customer – Keeps closely attuned to the needs and perspectives of customers and uses this insight for the benefit of the business.
• Drives for Excellence – Demonstrates the ability to achieve results, outperform the competition, and win through continuous upgrading of one’s own and other’s work performance. Takes the initiative to help others develop and enhance their capability to contribute to Humana. Seeks out learning from one’s own experience, from other people and from other resources, and contributes to other’s learning.
• Is Accountable – Meets clearly stated expectations and takes responsibility for achieving results.

Education & Training:
Minimum qualifications include:
• High School Diploma or GED
• Demonstrated previous success as a pharmacy technician
• 2 years recent pharmacy experience

Candidates for this position must have the following competencies:
• Pharmacy – Understanding of medication related needs for the purpose of achieving definite outcomes that improve a members’ quality of life by providing high quality pharmaceutical consultation and services that foster the efficacy, safety and cost effectiveness of drug use for our customers and consumers.
• Customer Value Chain and Competitive Intelligence – Understanding of the competitive environment. Understanding of Humana’s business processes, systems, tools, regulations and structure and how they interrelate to provide products and services
• Basic Administrative Skills – Performs all administrative duties relative to his/her functional area; provides office-related administrative support, supplying pertinent information, maintaining files, scheduling appointments, initiating/editing correspondence, data entry, etc., as required.
• Sequential Organization – Is orderly, structured and efficient; arranges things in a systematic manner that promotes efficient management and control of a task or function.

Apply Here!

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Choosing the right staffing agency is critical for achieving results with your job search.

Apply now with Medical Staffing Resources, and let our team of experienced recruiters guide you through the maze of the application process.

As an applicant with our organization you can expect our team of recruiters to demonstrate a positive attitude, strong work ethic and a sense of urgency.

Here are some of the benefits you may receive from our service:

• Free service for job seekers
• Immediate access to MSR’s available job openings
• Interview preparation with valuable information about the culture of the employer
• Marketing of your resume to our established client base for unadvertised positions
• Career counseling and assessment tools to help you find the right fit
• Resume review and critique

What we look for in our candidates:

• Minimum of 2 years recent working experience in the medical or dental field
• Strong oral & written communication skills
• Professional and enthusiastic
• Able to work flexible hours
• Available to work temporary assignments or long term contracts
• Eager to travel
• The ability to accept temp to hire employment
• Ready to relocate
• Clear background check and drug free
• Excellent work references

Apply now to join our pool of professionals!

Medical Staffing Resources is an Equal Opportunity/Affirmative Action Employer.

MSR is committed to ensuring equal employment opportunity to all employees and applicants. MSR will recruit, hire, train and promote employees based upon experience, ability and achievement, with no regard to race, color, religion, sex, age, national origin, handicap or any other factor not related to work performance.