Description
Minimum Qualifications
Education: High school diploma or GED
Licenses/ Certifications: Licensed as a registered Pharmacy Technician or Pharmacist Intern in the State of Texas.
Experience / Knowledge / Skills:
Three (3) years experience in specialty, retail, mail order, or hospital pharmacy
Two (2) years experience in insurance verification, benefits, and eligibility investigations
Demonstrated attention to detail in completing tasks and communication with patients and healthcare providers on the phone
Ability to efficiently complete multiple daily work assignments while operating independently
Ability to work cross-functionally to solve problems and improve quality and service
Knowledge of medical and pharmaceutical terminology and pharmaceutical patient assistance programs
Demonstrated experience in customer service with strong interpersonal and communication skills
Functional skills with the Microsoft Office Suite of products (Outlook, Excel, Word, PowerPoint)
Experience in specialty pharmacy or pharmacy benefit management strongly preferred
Principal Accountabilities
Enters prescriptions and processes claims accurately, for new/refill prescriptions.
Clarifies prescription orders with pharmacist and/or clinician as appropriate.
Conducts insurance benefit investigation to obtain patient’s current eligibility and coverage information; communicates with patient and caregiver and/or physician office regarding insurance investigation and patient financial responsibility.
Troubleshoot and resolve billing rejections and subsequently rebill claims to appropriate carrier for all insurance plans.
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate.
Confirms and processes payment information and assists patients with appropriate forms of pharmacy financial assistance, when appropriate.
Provides customer service to patients by conducting inbound and outbound calls to schedule delivery of medications. Tracks packages to ensure patient receives medication in a timely manner.
Collects clinical information essential for patient management; notifies clinical staff with any patient side effects and/or requests from the patient or caregiver; provides status updates to physician offices when appropriate; notifies and communicates instructions to patients in the event of a medication recall.
Assists with process of prescription and payer audits in accordance with company policy.
Completes and maintains all required documentation in pharmacy information systems and the patient’s record.
Communicates with various pharmacy team members as needed to coordinate timely prescription dispensing and reports errors, omissions, or incidents to pharmacist. Works proactively to solve issues that may arise.
Participates in staff meetings and helps with special projects.
Maintains productivity rates and meets quality expectations determined by management.
Complies with all regulatory requirements, including HIPAA/HITECH.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Specialty Prescription Coordinator - FT, Days • Specialty Pharmacy
Education & Experience Requirements:.Bachelor's Degree; Advanced degree a plus.Candidates with fewer than 3 years of leadership experience may be considered for the Associate DSM position.Specialty... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
This is an opportunity to step into a growing palliative care team that is integral to a larger cancer care approach.Practice Details:- Monday through Friday - 100% outpatient.This palliative oncol... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Are you seeking a job as a home health aide in the Fort Wayne, IN area? Do you want a rewarding career that allows you to help people while also earning competitive income and flexible working sche... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work f... Show more
Opportunities with Genoa Healthcare.A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities.We do more than just pr... Show more
Medical And Health Services Manager.Location: Fort Wayne, IN Job Type: Full-time Multiple openings per shift: 1st, 2nd, or 3rd.Job Summary: This will be a full-time, direct placement position.We ar... Show more
Client Service CoordinatorThe Client Service Coordinator (CSC) drives the flow of clients and pets through the hospital, maximizes the productivity of the veterinary medical team (in terms of numbe... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
This position will work in conjunction with the Educational Leadership at Indiana University (IU) School of Medicine (IUSM) - Fort Wayne to advance the administrative and operational support for al... Show more
Description Since 1960, Benchmark has been connecting people and potential.We are committed to empowering those we serve to live as independently as possible, be included in their communities, and ... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Home Health Aide Position in Fort Wayne, IN.Are you seeking a job as a home health aide in the Fort Wayne, IN area? Do you want a rewarding career that allows you to help people while also earning ... Show more
Staff PharmacistHealth is everything.At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care.Millions of times a day, we help people on their path... Show more
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a var... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
