Bilingual Pharmacy Technician
6 days ago
Optime Care Inc is seeking a highly skilled 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.
Key Responsibilities- Patient Advocacy: Act as a patient advocate to gain insurance coverage for prescribed therapies.
- Language Support: Specialize in assisting with translating calls using English or Spanish, whichever the patient prefers.
- Profile Creation: Welcoming new patients and creating profiles with all the critical information.
- Insurance Verification: Conduct periodic insurance verification and/or authorizations for patient coverage.
- Claims Filing: File claims for patient prescriptions and orders.
- Collection Activities: Complete collection activities per client program specifications.
- Benefit Explanation: Investigation and benefit explanation to patient, initial and ongoing.
- Prior Authorizations: Obtain and maintain Prior Authorizations.
- Order Creation: Create patient orders and associated prescription entries for new and refilled prescriptions.
- Prescriber Communication: Communicate with prescribers, including requesting new prescriptions.
- Billings: Bill for RX drugs and administration supplies.
- Financial Assistance: Assist patients with possible financial assistance.
- Document Preparation: Arrange all necessary documents and materials for initial and ongoing shipments.
- Delivery Coordination: Coordinate all deliveries and process any patient returns.
- Consent Forms: Obtain necessary consent forms for manufacturers or patient support organizations.
- Pharmacist Support: Assist pharmacists with day-to-day tasks such as filling prescriptions and entering prescription information into the patient management system for pharmacist verification.
- Ad Hoc Reporting: Assist in preparing any ad hoc report request from clients.
- Education: High school diploma, or equivalent, required.
- Experience: 2 or more years of experience with medical/pharmacy insurance verification, including benefit investigation.
- Language Skills: Experience using both English/Spanish languages in a professional capacity.
- Licenses: Current Missouri BOP Pharmacy Technician license or Nurse license in good standing.
- Knowledge: Knowledge of medical terminology required.
- Insurance Knowledge: Knowledge of medical/pharmacy insurance benefit language- ie. EOBs, deductibles, out-of-pocket, co-insurance, co-pays, etc.
- Coding Knowledge: Ability to define CMS 1500s, provider numbers, CPT, HCPC's, ICD9, NCPDP and NDC codes/numbers.
- Medicare and Medicaid: Knowledge of Medicare and Medicaid billing.
- Patient Assistance Program: Patient Assistance Program knowledge a plus.
- Prior Authorization: Experience with prior authorization and SMN preparation.
- Insurance Claim Appeals: Knowledge of insurance claim appeals.
- Computer Skills: Computer literate and proficient with Microsoft Office.
- Communication Skills: Excellent written and verbal communication skills in both Spanish and English, and interpersonal skills required.
- Teamwork: Ability to participate in and facilitate group meetings.
- Problem-Solving: Excellent analytical skills and the ability to provide solutions to complex problems.
- Attention to Detail: Relentless attention to detail and the ability to be a creative self-starter and team player.
- Flexibility: Willingness to work a flexible schedule.
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