Rx Specialist

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution.

This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions.

Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time.

Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

• Transparent Communication : be open and clear in all interactions without withholding crucial information
• Integrity : ensure accuracy in reporting, work outputs and any tasks assigned
• Truthfulness : provide honest feedback and report any issues or challenges as they arise
• Trustworthiness : build and maintain trust by consistently demonstrating reliable behavior

Ethical

• Fair Decision Making : ensure all actions and decisions respect company policies and values
• Accountability : own up to mistakes and take responsibility for rectifying them
• Respect : treat colleagues, clients and partners with fairness and dignity
• Confidentiality : safeguard sensitive information and avoid conflicts of interest

Hardworking

• Consistency : meet or exceed deadlines, maintaining high productivity levels
• Proactiveness : take initiative to tackle challenges without waiting to be asked
• Willingness : voluntarily offer to assist in additional projects or tasks when needed
• Adaptability : work efficiently under pressure or in changing environments

Summary

The Lucent Health Rx Specialist works within the Narus Health Patient Support Center (PSC) in Nashville, Tennessee. The Care Support Specialist, as part of a multidisciplinary care team, is responsible for supporting the care management team.

This team member is responsible for managing inbound phone queues, communication with patients, providers, and additional entities responsible for healthcare delivery, scheduling, workflow management, working directly with patient enrollment to determine patient eligibility for care, coordinating, calling and tracking all new patient and member requests, documenting patient needs and working within multiple technology systems.

The Care Management Support Specialist is a seasoned professional who provides excellent patient and member care within Narus Health's services.

The role works within an office-based, call center environment.

Responsibilities

• Management of multiple channels of communication to and from the care management team and patients (including telephonic, mobile, and email).
• Provide assistance to members with prescription coverage and medication issues.
• Working issues through to final resolution
• Verification of benefits and eligibility for patients
• Manage patient confidential medical information
• Taking inbound / making outbound routine and urgent patient calls
• Initiate the patient intake process for patients to receive medication and complete applications for assistance from pharmaceutical company
• Receive and coordinate dispensing and shipping from external special pharmacies for medication refills
• Contacting providers to obtain signatures and complete provider applications
• Fax completed applications to pharmaceutical company / patient assistance programs
• Entering patient data into the Narus Health software platform for applications - MD Cares, and Prescription Benefit Managers - Rx Clearinghouse & Drexi portal
• Working with employers and insurers to provide benefit information and contact information
• Execute and maintain multiple Excel reports for medication fills, financial assistance, and other metrics deemed necessary for tracking information for operations and the client
• Other duties as requested

Required Skills & Abilities

• Excellent time management, flexibility, and organizational skills with the ability to work independently
• Good communication, teamwork and interpersonal skills with the ability to work with all levels of management
• Demonstrates problem solving skills
• Strong communication and organization skills
• A minimum of 3 years of comparable work experience in a healthcare setting. Previous experience with prescription benefit plans, pharmacy, or pharmaceutical company / patient assistance programs preferred.
• A high school diploma (required) and Associate / bachelor's degree in business or health sciences preferred
• Prior telephonic patient engagement experience preferred
• Strong communication skills
• Articulate and compassionate with exceptional phone etiquette
• Working knowledge of medical terminology is ideal

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.