Care Specialist III

About Alto

Alto provides an easier, more efficient and more affordable pharmacy experience for patients, providers, and partners. Our full-service, digitally-powered pharmacy makes it simple for patients to live their healthiest life, while our technology empowers partners with automated and customizable solutions for the entire pharmacy value stream. To learn more about Alto, you can review our Founders’ Story and our Values. 

The Patient Care experience is an essential part of our mission to build the pharmacy of the future. Our Pharmacy Technician team goes above and beyond for our patients by combining the friendliness of your neighborhood pharmacy with the speed of a fast-moving startup. We believe in changing the traditional pharmacy model for the better to provide a five-star experience.  

As a Pharmacy Technician III, you will use your advanced knowledge working in a pharmacy to prepare and submit third-party insurance claims using our custom-built pharmacy management system. Additional responsibilities will include troubleshooting complex cases. You'll also deliver extraordinary customer service while handling patient escalations via phone, text, chat, and email.

Employment is conditional upon having an active PTCB certification. Alto will cover the cost of your registration fee and renewals upon expiration.

Accelerate Your Career as You

• 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

A Bit About You

Minimum Qualifications:

• 2+ years experience working in a high volume pharmacy
• An active pharmacy technician (PTCB) license in good standing with the X State Board of Pharmacy, free of any disciplinary actions
• Exceptional knowledge of commercial and government insurance and how to troubleshoot claims
• Ability 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

Preferred Qualifications:

• Experience with specialty claims adjudication
• Experience submitting and managing Prior Authorizations and TAR's

Additional Physical Job Requirements

• Reading English, comprehending, and following simple oral and written instructions. 
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.
• Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly. 
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound. 
• Frequent repeating motions required to operate a computer or phone that may include the wrists, hands and/or fingers.
• Environmental Conditions: occasional exposure to low temperatures or high temperatures, outdoor elements such as precipitation and wind, and noisy environments.
• Physical Activities: 
• Occasionally ascending or descending stairs, ramps and the like.
• Moving about to accomplish tasks and/or moving from one worksite to another. 
• Adjusting or moving objects up to 20 pounds in all directions. 
• Operating motor vehicles.
• Occasional sedentary work that primarily involves sitting/standing/driving/flying

Salary and Benefits

Salary Range: $ $40,800.00 - 61,200.00 USD 

Commission Eligible: No

Equity Eligible: Yes

Travel:No

Location Requirement: Employment at Alto is limited to individuals residing in the following states: California, Connecticut, Colorado, Florida, Nevada, Illinois, New York, Kansas, Texas, Maryland, Washington (WA), Missouri, New Jersey, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Wisconsin.

Employment Requirement: Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: October 15, 2024

#LI-Remote