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Intake Pharmacy Specialist

4 months ago

Omaha, United States AdaptHealth Full time

Description

Position Summary:

The Intake Pharmacy Specialist assists new patients with processing of orders through the Pharmacy channel. This position coordinates order processing with Pharmacist(s) and Pharmacy Tech(s) in accordance with normal order process. This position does not perform Pharmacy Technician duties unless registered and certified.

Essential Functions and Job Responsibilities:

* Place phone calls to new patients, answer phone calls and contact doctors and patients via fax or phone or other communication means.
* Answers incoming phone calls, takes customers' orders for Diabetic Pharmacy.
* Provide and update Customers, Sales Representatives, and Referral Sources, on ETA's and order status.
* Responsible for communicating with fellow team members on a regular basis on incoming or pending orders.
* Responds to patient questions and problems.
* Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, and item(s) requested.
* Gathers all necessary documentation, prior to delivery Rx, Auth, etc.
* Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract.
* Verify that information on written prescriptions and refill requests is complete and accurate.
* Informs patient of financial responsibilities: copay
* Enters data and each order (new or otherwise) in system accurately and in a timely manner.
* Enters notes in appropriate areas of insurance, general, prescription, and authorizations in the computer system.
* Receive and process prescription requests by phone or send electronically from doctors' offices.
* Establish and maintain patient profiles, including lists of medications taken by individual patients.
* Process orders for Pharmacy Technician to print/fill.
* Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information.
* Attends all departmental meetings, company meetings, and in-services.
* Reports to work daily and is ready to work at the scheduled start time.
* Performs any other duties that may be requested by supervisor or management.
* Maintain a professional, safe, and clean work environment.
* Must meet minimum of monthly goals.
* Refer any questions regarding prescriptions, drug information, or health matters to a pharmacist.
* Advise patients on where to locate over-the-counter medication within the store.
* Assist store customers by answering questions, locating items, or referring them to the pharmacist for medical information.
* Maintain patient confidentiality and function within the guidelines of HIPAA.
* Completes assigned compliance training and other educational programs as required.
* Maintains compliant with AdaptHealth's Compliance Program
* Perform other related duties as assigned.

Competency, Skills, and Abilities:

* Knowledge of Medicare, Medicaid, and commercial health plan reimbursement methodologies and documentation requirements.
* Excellent verbal and written communication skills.
* Well organized, detail oriented and possess strong problem-solving and critical thinking skills.
* Ability to prioritize tasks, manage multiple projects and work independently.
* Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.
* Ability to read and interpret documents such as Medicare, Medicaid and commercial health plan policy articles and procedure manuals.
* Ability to prepare routine reports and correspondence.
* Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
* Computer Skills: Strong proficiency in Microsoft Office: Excel, Word, Outlook

Requirements

Education and Experience Requirements:

* High School or GED education: required.
* Valid and unrestricted Pharmacy Technician certification is required in the state(s) of practice.
* Registered with the applicable Board of Pharmacy and in good standing.
* One (1) year of prior Pharmacy experience is preferred.

Physical Demands and Work Environment:

* Must be able to bend, stoop, stretch, stand, and sit for extended periods and lift up to 30 pounds.
* Ability to perform repetitive motions of wrists, hands and/or fingers due to extensive computer use.
* Work environment may be stressful at times, as overall office activities and work levels fluctuate.
* Subject to long periods of sitting and exposure to computer screen.
* May be exposed to angry or irate customers or patients.
* May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
* Ability to utilize a personal computer and other office equipment.
* Ability to demonstrate courtesy and respect for privacy.
* Ability to work extended hours when needed.
* Mental alertness to perform the essential functions of position and the ability to properly treat confidential information.
* Ability to effectively communicate both verbally and written with internal and external customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.