Bilingual Pharmacy Technician
1 month ago
Optime Care is seeking a highly skilled and bilingual Pharmacy Technician to join our team. As a key member of our team, you will play a critical role in providing exceptional patient care and support to our patients with unique disorders.
Key Responsibilities- Act as a patient advocate to secure insurance coverage for prescribed therapies.
- Provide translation services in English and Spanish to ensure seamless communication with patients.
- Welcoming new patients and creating profiles with 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.
- Investigate and explain benefits to patients, both initially and ongoing.
- 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 necessary documents and materials for initial and ongoing shipments.
- Coordinate all deliveries and process 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 ad hoc report requests from clients.
- High school diploma or equivalent required.
- 2+ years of experience with medical/pharmacy insurance verification, including benefit investigation.
- Experience using both English/Spanish languages in a professional capacity.
- Current Missouri BOP Pharmacy Technician license or Nurse license in good standing.
- Knowledge of medical terminology required.
- Knowledge of medical/pharmacy insurance benefit language, including 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.
- Excellent written and verbal communication skills in both Spanish and English, and interpersonal skills required.
- 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.
- Willingness to work a flexible schedule.
Optime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. We focus on securing insurance coverage, coordinating care, and complying with therapy regimens. Our mission is to minimize the daily impact of living with unique disorders. After just one call, our experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.
Optime Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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