Clinical Assistant

This is a fully remote position, open to applicants in Alabama, +4 more states.

📋 Description

• Review and identify medications that are either high-cost or therapeutically inappropriate before claim submission.

• Engage with hospice partners to discuss medication alternatives and formulary considerations.

• Assist in efforts aimed at minimizing claim rejections, delays, and unnecessary medication-related expenditures.

• Maintain precise medication profiles, eligibility details, and supporting documentation.

• Aid in researching medication claims, understanding prior authorization requirements, and resolving claims issues.

• Deliver prompt, high-quality support to hospice staff concerning pharmacy benefit services.

• Train and assist hospice staff in using various e-prescribing platforms.

• Oversee multiple work queues, requests, and support activities while meeting service-level expectations.

• Ensure that medication records, user profiles, and system data are accurate, complete, and up to date.

• Serve as a liaison among hospice staff, clinical pharmacists, operations teams, and technical support personnel.

⛳️ Requirements

• Possess a current Certified Pharmacy Technician (CPhT) certification or an active Registered Pharmacy Technician license.

• Have familiarity with medication claims processing, pharmacy benefit management, and prior authorization workflows.

• Experience in investigating medication discrepancies, eligibility concerns, and claims-related inquiries.

• Demonstrated ability to offer professional and responsive support to healthcare clients and stakeholders.

• Capability to learn and navigate various software applications, pharmacy systems, and e-prescribing platforms.

• Strong verbal and written communication skills.

• Proven track record of managing multiple priorities, maintaining detailed documentation, and working efficiently in a fast-paced environment.

🏝️ Benefits

• Dental, vision, and multiple group medical plans to choose from.

• 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.

• Additional supplemental insurance plans.

• Flexible vacation time.

• Accrued paid sick time.

• 10 paid holidays.

• 2 floating holidays for full-time non-exempt employees.

• Eight weeks of paid parental leave for eligible employees.

• Additional paid weeks for the birthing parent.

• 4 weeks paid caregiver leave.

• A Lifestyle Spending Account allowance each month.