6 Pharmacy Technician- Specialty Pharmacy Jobs in Earth, MO
Optime Care is Hiring a Pharmacy Technician- Specialty Pharmacy Near Earth, MO
Optime Care is seeking a Pharmacy Technician, also called a Care Coordinator internally. 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.
What the position will be doing
- 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
- Other duties as needed or assigned
- High school diploma, or equivalent, required
- 2 or more years of experience with medical/pharmacy insurance verification including benefit investigation
- Current Missouri BOP Pharmacy Technician license, or Nurse license in good standing
- 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
- Knowledge of Medicare and Medicaid billing
- Patient Assistance Program knowledge a plus
- Experience with prior authorization and SMN preparation
- Knowledge of insurance claim appeals
- Computer literate and proficient with Microsoft Office
- Ability to participate in and facilitate group meetings.
- 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
What Sets Us Apart
- Our focus on people- our customers, partners, and coworkers
- A company culture that embraces going beyond expectations in everything we do
- A leader in providing specialty pharmaceuticals to individuals with unique conditions
- An opportunity to learn from some of the best in the business
- A diverse and inclusive culture that embraces innovation
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Job Summary
Full Time
Skilled Nursing Services & Residential Care
$37k-46k (estimate)
06/24/2024
07/21/2024
optimecare.com
EARTH CITY, MO
25 - 50
2015
DONOVAN QUILL
$10M - $50M
Skilled Nursing Services & Residential Care
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About Optime Care
Optime Care creates partnerships for personalized care with a specific focus on disorders affecting smaller patient communities. Our team of experts in rare disorders works with healthcare providers, payers, biopharmaceutical companies, and patients to implement therapies and support services quickly. Optime Care understands the unique challenges that accompany living with these disorders, and our patient care and distribution models ensure compliance, satisfaction, and long-term well-being. Our mission is to navigate the shifting healthcare environment and minimize the daily impact of rare an...d chronic disorders on patients and family members. After just one call, our experts start coordinating every aspect of care medication delivery, reimbursement, disease education, patient compliance and more. All Optime Care patients are partnered with a dedicated patient support specialist who serves their unique needs.
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