Executives

Position Title, Responsibility Level

Reports to

Essential Functions

• Responsible for the review, evaluation, and input of pharmacy benefits.
• Reviews documentation and interprets data obtained from the client benefit database.
• Coordinates with team POC / Supervisors whenever a benefit needs clarification.
  

• Processes transactions as per guidelines provided
• Attend team meetings to be aware of workflow updates.
• Participates in the client mandated trainings to maintain knowledge and performance.
• Coaching and team meetings with supervisors and managers.
  

• Coordinates with the appropriate onshore department regarding access or issues to the proprietary software.
• Summarization of complex information into a clear and precise clinical picture while working independently
• Corrects and reports cases with errors and/or defects.
• Sends the cases stateside via an automated process.
• Review incorrect benefit coding instructions and report any that is out of date.
  

Skills

• Position requires proficiency with computer skills
• Navigating multiple systems and keyboarding
• Basic Excel
  

Process Specific Skills

• Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended hours, and typing on the computer.
• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Typical office working environment with productivity and quality expectations
  

Soft Skills (Desired)

• Effective communication skills, both verbal and written.
  

Work Experience Requirements

• 0-1 year minimum BPO experience
• Preferably, with back office experience
• Resource needs be English medium educated (schooling)
  

Annexure

Acknowledgement