Job Description - Associate Rx BIT

Position Title, Responsibility Level

Level 1

Function

Associate

Reports to

Assistant Manager

Permanent/ Temporary

Permanent

Span of Control

Nil

Location

Noida

Basic Function

Supplier will receive the work via the proprietary application and input the pharmacy benefits onto the proprietary system. The supplier may be doing the coding or auditing work depending on the assignment.

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.

Primary Internal Interactions

• 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.

Primary External Interactions

• 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• Review incorrect benefit coding instructions and report any that is out of date.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

Technical Skills

• Position requires proficiency with computer skills

Process Specific Skills

Soft skills (Desired)

• Effective communication skills, both verbal and written.

Education Requirements:Graduate of any stream(BA, B.COM).

Work Experience Requirements

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

Annexure:

Acknowledgement(acknowledge that the information contained in this document is factual and complete)

___________________________________ ___________________________________________ ____________________________

Candidate Supervisor/Manager Date