Position Description:As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)Positions in this function perform various duties related to the fulfillment of prescription orders. Interprets physicians' prescriptions and creates order, accesses, inputs, and retrieves prescription information from computer system, verifies whether order is reimbursable. Dispenses any or all of the following: unit doses, specialty pharmaceuticals and injectibles; may compound medications. Consults with customers, patients and / or physicians regarding use of medications and potential drug interactions. Consultations may be telephonic or in person. Reviews and approves / denies requests for prescription prior authorizations. Pharmacists must have a current license without restrictions and Pharmacy Technicians must have current state license or national certification without restrictions based on regulatory requirements of work site.Primary Responsibilities:Enter prescriptions and verifying appropriate informationContacting patients, pharmacists and doctor's offices to resolve claims issuesProcess prescriptions (from intake to order completion)Resolve customer issues; ensuring accurate information is providedConsistently meet established productivity, schedule adherence, and quality standards while maintaining a good attendance recordExtensive work experience within own function.Work is frequently completed without established procedures.Works independently.May act as a resource for others.May coordinate others' activities.
Requirements:High School Diploma / GED4+ years of Pharmacy related experienceModerate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications: Microsoft Word - Create and Edit, Excel - create and edit spreadsheets Available to work 40 hours per week and overtime as required according to the needs of the businessContinued employment is contingent upon successful Pharmacy Technician licensing and registration (Pharmacy Certification)Soft Skills:Ability to remain focused and productive each day though tasks may be repetitiveStrong phone communication skills.Physical Requirements and Work Environment:Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods of close vision looking at a computer monitorService center environment with moderate noise level due to Representatives talking, computers, printers, floor activityCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SMDiversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: Insurance, customer service, customer service representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealthcare, UnitedHealth Group, Oputm, OptumRX, pharmacy, pharmacy technician, prescription, RX, Pharm Tech, Licensed Pharm Tech, Pharmacy Clerk, Pharm Clerk
Our mission is to help people live healthier lives and to help make the health system work better for everyone.
- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities.
- We work with health care professionals and other key partners to expand access to quality health care so people get the care t...hey need at an affordable price.
- We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.