Location: Conshohocken,PA, USA
Russell Tobin's client is hiring a Program Support Specialist in Conshohocken, PA
Employment Type: Contract
Location: Hybrid Conshohocken, PA
Pay rate: $27-$28.00/hr.
Job Description:
Under the direction of the Manager of Central Pay, the Central Pay Specialist manages and coordinates the complete enrollment or disenrollment process of pharmacy customers into or out of AmerisourceBergen's Elevate Provider Network and Accelerate Central Pay Services. The Central Pay Specialist ‘s responsibility for placing funds on hold. Associate will serve as the escalation point for customer issues, the liaison to reconciliation vendors, a contact point for Central Pay vendor partners and pharmacy benefit managers (PBMs), and the back-up for daily funds release to central pay customers. The associate will also assist with accounting/reconciliation issues for customers and the processing of refunds to PBM's or billing recoveries from customers.
Responsibilities:
1. Coordinates the complete Central Pay Services implementation for pharmacy customer enrollment or dis-enrollment in Elevate Provider Network.
2. Confirms and loads pharmacy customer information and holds on funds into the Central Pay website.
3. Provides assistance to customers Central Pay website issues.
4. Confirms customers have entered banking information and monitors banking status on website.
5. Monitors accounts to identify outstanding debts
6. Tracks down missing checks and 835's from PBMs
7. Locate and contact customers regarding outstanding debts.
8. Serves as escalation point for Central Pay issues.
9. Serves as liaison with Reconciliation Vendors and FDS payment processor.
10. Serves as contact person for Central Pay vendor partners and Pharmacy Benefit Managers (PBMs).
11. Provides assistance for pharmacy customers with questions and issues including accounting/reconciliation issues/funds on hold/debts.
12. Processes refunds for PBMs, funds on Hold and serves as back up for daily funds release.
13. Updates pharmacy customers' account records and collection efforts
14. Documents processes and procedures.
15. Completes special projects as assigned.
16. Performs related duties as required.
Requirements:
1. Pharmacy Benefit Management or PSAO background, preferably with pharmacy reconciliation experience.
2. Knowledge of AB products, programs and services preferred
3. Familiarity with NCPDP field formats and Payor contract retail pharmacy reimbursement terms
4. Ability to work under pressure to balance competing priorities and to meet time sensitive deadlines
5. Strong organizational and analytical skills; attention to detail
6. Ability to interpret complex material into easily understood analysis
7. Ability to communicate effectively both orally and in writing; interacts with all levels of associates and management within and outside the organization.
8. Strong interpersonal skills
9. Excellent customer service management skills
10. Strong navigation of multiple systems and the consolidation of data from various sources
11. Strong computer skills necessary to operate effectively with company systems and programs
12. Contract document management (WORD, POWERPOINT) and financial analytical skills (EXCEL) required.
13. Experience with relational databases and knowledge of query tools and/or statistical business intelligence software (e.g., Micro Strategy) is required.
14. Must have experience with extracting data from Salesforce or similar.
Benefits that Russell Tobin offers:
Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.