Reimbursement Specialist (Pharmacy Technician)

| Greater Denver Area
Alto is a modern pharmacy changing the way people manage and fill their prescriptions with a tech-driven, patient-centric, online pharmacy. Alto provides same-day, free delivery, seven days a week for prescriptions. More importantly, Alto offers cost transparency, personalized mobile support, and real-time coordination with doctors and insurance companies. Our mission is to fulfill medicine’s true purpose - to improve the quality of life for everyone who needs it. We recently raised our Series C, surpassed 200 employees across four locations, and are on track to achieve $300M ARR by the end of 2019. Start-up tracker, CB Insights, recently listed Alto as one of the top 50 private companies around the world on a path to a $1 billion valuation. Alto is also featured in The New York Times (2/19) article “These 50 Start-Ups Maybe the Next “Unicorns’.“Alto is seeking experienced Pharmacy Technician, Operations Specialists with a California Pharmacy Technician license to work in a dynamic, fast-paced environment to manage a variety of pharmacy operations tasks. The ideal candidate is passionate about changing the traditional pharmacy model for the better. You'll work with a group who is excited and dedicated to significantly improve the pharmacy patient experience and will have the opportunity to contribute well beyond the normal duties of a pharmacy technician.
Responsibilities:Prepare and submit third-party insurance claims
  • Troubleshoot prescription issues by calling insurance companies, doctors offices, and patients
  • Work closely with doctors offices to manage refill requests, prior authorizations, and coverage determinations
  • Provide prompt, courteous and knowledgeable customer service
  • Troubleshoot complex cases with out patients
  • Respond to patient messages and incoming calls
  • Handle escalated patient situations via phone, text, email, or chat
  • Manage pharmacy inventory needs and restock orders

You are an ideal candidate if you have:

  • A current pharmacy technician license
  • PTCB preferred
  • 2+ years experience working in a high volume pharmacy
  • Exceptional knowledge of commercial and government insurance and how to troubleshoot claims
  • Friendly disposition and outstanding customer service skills
  • Ability and eagerness to learn and operate a new pharmacy management system and other relevant equipment
  • Ability to interpret, transcribe and troubleshoot prescription information
  • Ability to perform common math calculations
  • High school diploma / GED
  • A License free of any disciplinary actions

Bonus points if you:

  • Have experience with specialty claims adjudication
  • Have experience submitting and managing Prior Authorizations and TAR's
  • Work autonomously and have the capacity to work effectively in a fast paced, high growth environment
  • Are comfortable communicating to patients in Spanish
  • Are reliable, adaptable and adjust to changes in process quickly

Alto Pharmacy is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status, or any other legally protected basis.

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Technology we use

  • Product
    • AsanaManagement
    • JIRAManagement

Location

929 Broadway, Denver, CO

An Insider's view of Alto Pharmacy

What is your vision for the company?

It’s really easy to assume that Alto Pharmacy just delivers medications, but it goes beyond this when you have patients who are bed bound or who don’t know how to navigate the medical field by themselves. We support you in navigating this tricky realm, we ensure that adherence is more feasible, and the healthcare experience is transparent.

Gloria

Patient Care Lead

What are Alto Pharmacy Perks + Benefits

Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Retirement & Stock Options Benefits
401(K)
Company Equity
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Stocked Kitchen
Some Meals Provided
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