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Certified Medical Assistant, Bilingual

Remote, USA Full-time Posted 2025-07-27
    Description:
  • Receive and respond to prescription refill requests through various communication channels, including phone, email, fax, and Telephone Encounter
  • Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines
  • Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures
  • Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information
  • Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends
  • Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing
  • Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs
  • Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes
    Requirements:
  • Minimum of High School Diploma or GED
  • Minimum of 1 years experience in a retail pharmacy
  • Extensive knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
  • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
  • Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
  • Preferred Education, Experience & Skills Bilingual, National Certification
  • Language Ability: Ability to read, analyze, and interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations
  • Ability to effectively present information and respond to questions
  • General writing skills and ability to produce work free from typographical or spelling errors
  • Proficient Bilingual Language Skills- Read, Write, Speak (Spanish and English)
  • Technical skills: Basic PC and keyboarding skills required
  • Ability to handle multiple line phone systems, pagers and paging systems preferred
  • Working knowledge of Microsoft Office, Internet and e-mail
  • Certificates and Licenses: Pharmacy Technician: Certified Pharmacy Technician (CPhT) current, unrestricted license is required
  • Medical Assistant: must have a verifiable and nationally recognized certificate
    Benefits:
  • Health, dental, and vision insurance
  • 401(k) plan with company match
  • Paid time off (PTO) and holidays
  • Flexible spending accounts (FSAs)
  • Employee wellness programs
  • Career development opportunities

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