What you will do:

• Responsible for ensuring timely completion of non-electronically processed claims such as direct member reimbursement claims and commercial out-of-network claims
• Ensure claims approvals and/or denials are made in accordance with company practices and procedures
  
• Timely execute on member communications at scale, including mail-outs through our third-party mail vendor
  
• Support implementation activities related to claims management
  
• Prepares correspondence to members regarding potential medication disruption
  
• Maintain reimbursement queue to meet the departments SLA’s
  
• Protects patient health information by following regulations for HIPAA compliance
  
• Sustain integrity of all existing claims processes by ensuring all process documentation is up to date
  
• Assist Claims Analyst team members with implementation duties
  
• Participate in process improvement and quality assurance opportunities
  

What will you bring to SmithRx:

• 3+ years of pharmacy technician experience or claims processing experience required
  
• Pharmacy Technician license preferred
  
• Customer service oriented with the ability to work well under pressure
  
• Excellent organization skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity
  
• Microsoft Excel skills required
  
• Impeccable attention to detail and accuracy in work product
  
• Strong problem solving, written and verbal communication, and interpersonal skills
  
• Ability to work independently as well as part of an extended, cross-functional team
  
• Self-driven, results-oriented work ethic with a positive outlook
  
• Ability to take initiative with little to no direction