Onsite opportunity in Berwyn PA with a growing organization
Opportunity for hybrid remote after 120 days
Hours - Mon to Fri 8:30am to 5pm, no weekends!
Three weeks of training provided
Start Date - May 27th
We are seeking a Pharmacy Technician, also called a Care Coordinator with a great organization in Berwyn PA. We are looking for someone passionate about helping people get the specialized therapies they need. This critical role serves as the first point of contact for patients. They will act as the patient advocate, their champion, guiding patients through the process of obtaining pharmaceuticals not available with chain pharmacies. This position will be required to be in the office 5 days a week, M-F, for the first 120 days.
Day to day:
Act as a patient advocate to gain insurance coverage for prescribed therapies.
Welcoming new patients and creating profiles with all the critical information.
Conduct periodic insurance verification and/or authorizations for patient coverage.
File claims for patient prescriptions and orders.
Complete collection activities per client program specifications.
Provide an initial and ongoing investigation and benefit explanation to the patient.
Obtain and maintain Prior Authorizations.
Create patient orders and associated prescription entries for new and refilled prescriptions.
Communicate with prescribers, including requesting new prescriptions.
Bill for RX drugs and administration supplies.
Assist patients with possible financial assistance.
Arrange all necessary documents and materials for initial and ongoing shipments.
Coordinate all deliveries and process any patient returns.
Obtain necessary consent forms for manufacturers or patient support organizations.
Assist pharmacists with day-to-day tasks such as filling prescriptions and entering prescription information into the patient management system for pharmacist verification.
Assist in preparing any ad hoc report request from clients
Necessary Skills, Education & Abilities:
2 or more years of experience with medical/pharmacy insurance verification including benefit investigation.
Knowledge of medical terminology required.
Knowledge of medical/pharmacy insurance benefit language- ie. EOBs, deductibles, out-of-pocket, co-insurance, co-pays, etc.
Ability to define CMS 1500s, provider numbers, CPT, HCPC’s, ICD9, NCPDP and NDC codes/numbers
Experience with prior authorization and SMN preparation.
Knowledge of insurance claim appeals.
Computer literate and proficient with Microsoft Office.
Ability to thrive in a fast-paced environment with constantly changing and competing priorities.
Excellent analytical skills and the ability to provide solutions to complex problems.
Ability to be highly transparent, ethical, and driven.
Relentless attention to detail, and the ability to be a creative self-starter and team player.
Excellent written and verbal communication skills, and interpersonal skills required.
Willingness to work a flexible schedule
...role, youll connect with customers in person, provide helpful product recommendations, and make sure every customer has a positive experience. This is a great entry-level opportunity for anyone looking to build a career in sales, customer service, or businessno...
...tone for the day. Be the go-to for everything. Forrest Solutions is seeking a polished, proactive, and high-energy Workplace Concierge to support our prestigious financial services client onsite at their Washington, DC office. This isnt just a front desk roleit...
...-only position where you can make a difference? If you're a go-getter that wants to have an impact and not just be another number, this position is for you. We are looking for a Help Desk support technician eager to learn and grow in cybersecuritya talented, tenacious...
...Hundreds of positions Locations: Bronx , Brooklyn, Queens and Long Island locations Shifts: Flexible scheduling available Days, Evenings, and Overnights, PT and FT Responsibilities Assist with personal hygiene needs, including toileting, showering,...
...Senior Electrical Designer We are hiring a Senior Electrical Designer to lead the design of lighting, power, and systems for commercial building projects! The Sr. Electrical Designer will benefit from a hybrid work schedule, unlimited paid time off, aggressive...