What is MedtipsterFree?
Q: What is MedtipsterFree?
A: MedtipsterFree is a prescription benefit overlay for a traditional pharmacy benefit plan, connecting pharmacies across the country to compete against one another on plan member prescriptions.
What is the expected savings with MedtipsterFree?
Q: What is the expected savings with MedtipsterFree?
A: Our initial compliance results show a 4% generic dispensing rate (GDR) increase, with savings of over $5 per employee per month (including administration fees).
Are there any costs associated with implementation?
Q: Are there any costs associated with implementation?
A: Yes. There is a one-time cost of a $1.00 per ID card (+ postage).
How much does MedtipsterFree cost?
Q: How much does MedtipsterFree cost?
A: The only MedtipsterFree administrative cost is a $1.50 per employee per month (PEPM) fee, billed monthly. There are no per paid claim administration or pharmacy dispensing fees.
How do I get reimbursed if I paid out of pocket for a covered medication?
Q: How do I get reimbursed if I paid out of pocket for a covered medication?
A: If you paid of pocket for your medication for any reason, you may submit a paper claim to us to be reimbursed for your medication cost. Please email us at contact@medtipster.com and include the following information:
- Copy of your prescription ID card
- Reason for reimbursement (Out of Country, problem at pharmacy, or etc.)
- Copy of your prescription receipt. Cash register receipts will not be accepted. The prescription receipt must include the following information:
- Patient Name
- Date of Fill
- Prescription number
- Quantity
- Day supply
- Drug name including strength and form or NDC number
- Pharmacy Name and Address or Pharmacy NABP number
Please note: Submission of the requested information does not guarantee payment of your claim. Your submission will be reviewed, and you will be contacted by email within 1-2 business days.
IMPORTANT REMINDERS – To avoid having to submit a paper claim form:
- Always have your card available at time of purchase.
- Always use pharmacies in your network.
- Use medication from your formulary list.
- If problems are encountered at the pharmacy, please call 877-226-2378.
What are Medtipster’s Standard Report Options?
Q: What are Medtipster’s Standard Report Options?
A: Medtipster is dedicated to saving you the most money on your prescriptions. Therefore, we only locate pharmacies with the most affordable prices on discount generic drug programs, providing you with a national database, searchable by zip code.
- Executive Summary - (Broken out by month, it provides you a summary of membership, RX cost, and plan cost.)
- Plan Performance Summary – (It provides you a summary of membership, RX cost, and plan cost.)
- Claims Detail Report – (It provides you with the claims detail of each individual claim.)
- Eligibility Report – (It provides you with a list of all eligible members.)
- Top 20 Drug Report – (It provides you with a list of the top 20 drug being utilized by your members.)
- GOP Savings Report – (For our GOP clients, it provides you with a saving summary.)
Don’t see what you are looking for or need a custom report, contact us at contact@medtipster.com and please let us know. We will be happy to work with you to get you the report you need.
Pharmacy Technician Non-Retail (Account Management)
Pharmacy Technician Non-Retail (Account Management)
If you're interested in a career within a customer-focused, team-oriented environment that rewards innovation, quality, integrity and collaboration, Medtipster welcomes your application. Medtipster is a privately held pharmacy benefit administrator (PBA) headquartered in Southfield, Michigan. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. Medtipster offers high-value solutions to payers, providers and consumers of healthcare in the U.S.
POSITION SUMMARY
The position is full time, responsible for ensuring Medtipster clients and patients receive superior service. Key members of the account team are responsible for overall satisfaction of member claim processing and managing the day-to-day member relationship. Responsible for utilizing technology, tools, processes and resources to anticipate and exceed clients' needs and expectations. Collaborates with other operation executives and the clinical manager to process prior authorizations, enter overrides, update eligibility as required, manage client expectations and service needs.
Job Type: Full-time
ESSENTIAL FUNCTIONS
- Prior Authorizations - Initiation, submission, PA tracking, provider responses, and act as back up to Clinical Manager on determinations.
- Data Entry - Update eligibility as required, enter PA Overrides, maintain PA Process Log.
- Phone Back-up - Supports account management in live answering member and pharmacy calls.
- Data Entry
- Manage day to day member relationships through comprehensive knowledge of client's benefit plan and Medtipster product offerings.
- Daily interaction with members, clients, consultants and producers providing preventative analysis and issue resolution associated with Medtipster services.
- Responsible for timely and accurate management and execution of all client benefit requests, including eligibility changes, new groups, terminations and escalated issues.
QUALIFICATIONS
- Bachelor's degree preferred but not required.
- Valid State of Michigan Pharmacy Technician license
- Two years' experience in customer service industry, healthcare, or pharmacy required.
- PC skills including proficiency in Microsoft Outlook, Word, and Excel as well as internet experience.
- Excellent written and verbal communication and phone etiquette skills required.
- Exceptional data entry skills with a strong attention to detail.
- Strong analytical and problem-solving skills.
- Demonstrated ability in managing projects utilizing proven project management practices.
- Ability to work cross-functionally, to proactively communicate and to resolve issues with the highest sense of urgency.
Two professional references required!
Core Values:
Integrity
Innovation
Professionalism
Productivity
Having Fun
OSHA/ADA:
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Pay: $40,000.00 - $55,000.00 per year
Operations Executive (Finance) Position
Job Description
Operations Executive (Finance)
Creating and generating reports in Excel to support client accounts. Experience in reconciliation of client accounts and bank transactions is a plus. General accounting knowledge is necessary.
Job Type: Full-time
Qualifications
- Associate (Preferred)
- Microsoft Excel: 1 year (Preferred)
- Microsoft Office: 1 year (Preferred)
- US work authorization (Preferred)
Core Values:
- Integrity
- Innovation
- Professionalism
- Productivity
- Having Fun
OSHA/ADA:
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Pay: $22.00 - $27.00 per hour
COVID-19 considerations:
Employee screening daily, PPE provided, physical distancing and compliance with CDC and state guidelines.
Operations Executive (Account Management) Position
Job Description
Operations Executive (Account Management)
The OE position is full time, responsible for ensuring Medtipster clients and patients receive superior service. Key member of the core client account team is responsible for overall satisfaction and retention of assigned book of business. Manages the day-to-day member relationship. Responsible for utilizing technology, tools, processes and resources to anticipate and exceed clients’ needs and expectations. Collaborates with other Operations Executives and sales team on client activity, expectations, and service needs.
Job Type: Full-time
ESSENTIAL FUNCTIONS
- Answering Phones
- Data Entry
- Manages day to day member relationships through comprehensive knowledge of client’s benefit plan and Medtipster product offerings.
- Daily interaction with members, clients, consultants and producers providing preventative analysis and issue resolution associated with Medtipster services.
- Responsible for timely and accurate management and execution of all client benefit requests, including eligibility changes, new groups, terminations and escalated issues.
QUALIFICATIONS
- Bachelor’s degree preferred but not required.
- PC skills including proficiency in Microsoft Outlook, Word, and Excel as well as internet experience.
- Excellent written and verbal communication and presentation skills specifically regarding email and phone.
- Exceptional data entry skills with a strong attention to detail.
- Strong analytical and problem-solving skills.
- Strong focus on book of business client satisfaction and client retention results. Demonstrated ability managing projects, utilizing proven project management processes.
- Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.
Two professional references required!
Core Values:
Integrity
Innovation
Professionalism
Productivity
Having Fun
OSHA/ADA:
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Pay: $37,000.00 - $50,000.00 per year
COVID-19 considerations:
Company office complies with all state and federal CoVid-19 regulations and MIOSHA guidelines. PPE equipment provided.
FAQ Page
Frequently Asked Questions
How can we assist?
Here you’ll find answers to questions that come up the most often. We should point out that the information on our website is not a substitute for professional medical advice or services. For your specific health care needs, please consult your physician, pharmacist or other healthcare professional. To read Medtipster's Legal Statement, click here.
Client FAQs
Member FAQs
MedtipsterFree FAQs
Prescription Drug FAQs
Mini Clinic FAQs
Flu Shots FAQs
Site FAQs
Member & Provider Support
Phone: 877-226-2378
Our customer service hotline is available to you 24 hours a day, 7 days a week, 365 days a year.
Email: contact@medtipster.com
Sales Support:
Phone: 877-207-5939
Email: proposals@medtipster.com