Intake Specialist

Preveon Specialty Pharmacy, located in Highland, CA, strives to promote and achieve optimal therapeutic outcomes through collaborative Disease Therapy Management. Our goals include successfully improving the quality of life for each Patient, providing the highest standard of clinical services, reducing overall healthcare costs, and fostering relationships between Patients, Providers, and Payers..

Seeking a highly motivated, team-oriented, patient-focused Intake Specialist - Infusion for our Highland, CA pharmacy location. The Intake Specialist - Infusion is responsible for providing customer services to patients referred to the pharmacy. Pharmacy Technician licensed preferred.

Duties include, but are not limited to the following:

- Intake information from referral sources and patients in a professional, knowledgeable, and courteous manner
- Route patient referrals to the appropriate department or individual(s) in the pharmacy
- Receive calls from new patients and referral sources and document all communications
- Verify insurance coverage and bill for products to determine coverage
- Prepare and secure medical necessity documents
- Ensure proper billing with insurance companies, contracts, other third-party payers and patients for all products and services delivered
- Maintain accurate billing records
- Create drug appropriateness cases for pharmacists to review for new referrals
- Create and follow up on contact cases for missing documentation
- Create authorization cases when it is determined that medication is not covered by insurance
- Complete clinical assessments for new patients with first-time medications or current patients with medication changes
- Work with Infusion RPh to obtain Infusion Orders and Supply list needed for each infusion
- Type in all infusion referrals including supplies needed
- Coordinate Nursing referral to appropriate agency
- Complete initial CA for patient and transfer to pharmacist for consultation
- Maintain a list of Home and Suite infusion patients to refill in an appropriate time frame
- Review Nursing Billing after each infusion and reconcile correct billing
- Add Nursing notes to patients profile and submit to provider office, as requested
- Report any misconduct, suspicious or unethical activities to the Compliance Officer
- Represent the pharmacy in a professional and courteous manner in all interactions with patients
- Assist with the resolution of patient complaints and concerns in a professional manner
- Document and report patient concerns and complaints to the PIC
- Report incidents in compliance with pharmacy policy
- Participate in surveys conducted by authorized inspection agencies
- Participate in the pharmacy’s Quality Management Program as requested by the Compliance Officer
- Participate in pharmacy committees when requested
- Participate in in-service education programs provided by the pharmacy
- Assist in the implementation of policies and procedures within the pharmacy
- Maintain confidentiality of work-related issues
- Perform other duties as assigned by supervisor

Minimum Qualifications
- Organizational skills sufficient to maintain consistently accurate records
- Ability to evaluate options and make efficient decisions
- High School Diploma or equivalent

Preferred Qualifications
- Pharmacy Technician license

Physical Requirements
- The employee will spend prolonged periods sitting at a desk and working on a computer
- The employee must occasionally lift and/or move items up to 40 lbs.

Pay: From $23.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance

Schedule:

- Monday to Friday

Work Location: In person