PAC Specialist

ExactCare Pharmacy, Inc.

Job Overview

Location

OH - Remote

Job Type

Full-time

Full Job Description

📋 Description

• Provide exceptional phone-based customer service to patients, physicians, and healthcare facilities as part of a nationwide pharmacy care management team.
• Process high volumes of prescription information with speed and accuracy, ensuring correct data entry into internal pharmacy systems.
• Obtain prescription authorizations, clarifications, and transfers by communicating directly with prescribers and pharmacies using sound drug knowledge.
• Perform claim adjudication duties including prior authorization requests, billing verification, and eligibility checks through outbound patient calls.
• Resolve patient care issues by working through active case queues and coordinating solutions with clinical pharmacists and other medical professionals.
• Serve as a liaison between clinical pharmacists, technicians, and external providers to ensure seamless patient care coordination.
• Onboard new patients by conducting welcome calls and establishing trusted, ongoing points of contact for medication management.
• Initiate outbound calls to patients to create, update, or verify their medication profiles and ensure accurate recordkeeping.
• Maintain strict confidentiality and compliance with state and federal regulations when handling sensitive patient health information.
• Accurately retrieve and verify prescription details through direct communication with prescribing physicians and facilities.
• Act as backup support during periods of high patient call volume to ensure uninterrupted service delivery.
• Utilize multiple internal software systems to manage prescriptions, authorizations, billing, and patient records efficiently.
• Demonstrate strong organizational and prioritization skills to manage competing tasks in a fast-paced, high-volume environment.
• Adhere to AnewHealth’s Core Values in all patient, provider, and team interactions.
• Perform other duties as assigned to support the operational needs of the Patient Engagement Center of Excellence.

🎯 Requirements

• High school diploma or GED
• Must be 18 years of age or older
• Pharmacy technician registration with State Board of Pharmacy is preferred
• CPhT certification is preferred but not required
• Prior experience in a pharmacy setting is preferred
• Comfortable working in a phone-based environment with strong verbal communication skills

🏖️ Benefits

• Medical, dental, and vision coverage effective the 1st of the month following hire
• Flexible spending accounts
• Company-paid life insurance and short-term disability
• Voluntary benefits
• 401(k) plan
• Paid Time Off and paid holidays

Skills & Technologies

Remote

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ExactCare Pharmacy, Inc.

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About ExactCare Pharmacy, Inc.

ExactCare is a national long-term care pharmacy that partners with health plans, providers and patients to provide medication management solutions for chronic, complex and high-risk populations. The company dispenses and synchronizes medications for patients managing multiple chronic conditions, offers adherence packaging, clinical support and 24/7 pharmacy access, and delivers services through home delivery, on-site clinics and integrated technology platforms. Founded in 2009 and headquartered in Valley View, Ohio, ExactCare serves tens of thousands of patients across the United States and is accredited by URAC and the Accreditation Commission for Health Care.

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