Job description
Thank you for your interest in The University of New Orleans.
Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting.
You must complete all required portions of the application and attached the required documents in order to be considered for employment.
You must complete all required portions of the application and attached the required documents in order to be considered for employment.
Department
Pharmacy Support
Job Summary
Job Description
- Troubleshoot incoming pharmacy calls from Medicaid recipients and providers through the use of LMMIS, MMIS, LAMedicaid.com and LaPRIMS.
- Create a positive customer service experience, ensure timely resolution or escalation, communicating promptly on progress and handling callers with a consummately professional attitude.
- Analyze and resolve questions and requests. Log and track calls. Follow up with other support staff involved in resolution to ensure requests are resolved, filled and the customer communication is complete. Document resolutions and update self-help and staff knowledge bases.
- Educate callers on LA Medicaid pharmacy benefit billing and compliance policies.
- Research solutions to resolving callers’ problems and clearly communicate any viable options and/or solutions.
- Route and transfer non‐pharmacy calls to the appropriate departments.
- Track and log calls as required.
- Provide assistance as needed to Pharmacy Program Pharmacists and Pharmacy Support Supervisor, including, but not limited to, performing mail‐outs, data entry, provider calls, information requests and policy and programmatic research.
- Conduct special data analysis projects pertaining to the pharmacy program as requested.
- Conduct periodic reviews of pharmacy claims to assess adherence to Medicaid program policies and procedures.
- Resolve customer and provider relations issues.
- Maintain and expand general knowledge of the Pharmacy unit and an overview of LDH Medicaid operation to increase ability to resolve requests on first contact.
- Perform Fiscal Intermediary duties such as processing financial recoveries from providers and processing drug manufacturer payments.
- Maintain and protect confidentiality with regards to all aspects of members care, personal information and employee information.
- Participate in development/review of Pharmacy Audit project. Assist lead with any and all duties associated with on-going Pharmacy Audit projects.
- Other tasks as directed.
QUALIFICATIONS
REQUIRED:
- Bachelor’s degree or 6 years of professional experience in lieu of degree.
- Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.
- Excellent analytical skills, effective organizational and time management skills.
- Great attention to detail and follow up, and verbal/written communications skills.
DESIRED:
- Minimum 1 year of professional customer service experience.
- Professional experience in health care field or Medicaid program support.
- Knowledge of Medicaid Policy or Pharmacy Rebate Program.
- Experience with data analysis and research.
- CPT, ICD-9 and ICD-10 coding and HCPCS knowledge.
- CHDA, HIM, RHIA, RHIT, CCA, CMA, CPA, CIA, CGAP, HFMA or other relevant industry certifications.
Required Attachments
Please upload the following documents in the Resume/Cover Letter section.
- Detailed resume listing relevant qualifications and experience;
- Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems;
- Names and contact information of three references;
- Diversity Statement (required for all Faculty positions and any Staff position of Assistant Manager and higher).
See Diversity Statement instructions by clicking this link:
https://www.uno.edu/careers/diversity-instructions
Applications that do not include the required uploaded documents may not be considered.
Posting Close Date
This position will remain open until filled.
Note to Applicant:
Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.
References will be contacted at the appropriate phase of the recruitment process.
This position may require a criminal background check to be conducted on the candidate(s) selected for hire.
As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks.
The University of New Orleans is an Affirmative Action and Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.
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