Optime Care
Healthcare
PharmacyTechnician
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Pharmacy Technician at Optime Care. Skills: Insurance verification, Benefit investigation, Prior authorization. Act as a patient advocate to gain insurance. Welcome new patients and create profiles”
Industry & Context.
Provide solutions to complex problems
In the office for the first 120 days for training
What They're Looking For.
Must Have
2 or more years of experience with medical/pharmacy insurance verification, Current Missouri BOP Pharmacy Technician license, Knowledge of medical terminology, Knowledge of medical/pharmacy insurance benefit language, Ability to define CMS 1500s, provider numbers, CPT, HCPC’s, ICD9, NCPDP and NDC codes/numbers, Knowledge of Medicare and Medicaid billing, Experience with prior authorization and SMN preparation, Computer literate and proficient with Microsoft Office
Nice to Have
Patient Assistance Program knowledge is a plus, Knowledge of insurance claim appeals
What You'll Do.
Act as a patient advocate to gain insurance
Welcome new patients and create profiles
Conduct periodic insurance verification and/or authorizations
File claims for patient prescriptions and orders
Complete collection activities per client program specifications
Provide an initial and ongoing investigation and benefit
Obtain and maintain Prior Authorizations
Create patient orders and associated prescription entries
Communicate with prescribers
including requesting new prescriptions
Bill appropriate entities for RX drugs and administration
Assist patients with possible financial assistance
Arrange all necessary documents and materials for shipments
Coordinate all deliveries and process patient returns
Obtain necessary consent forms for manufacturers or patient
Assist pharmacists with day-to-day tasks
Assist in preparing any ad hoc report requests
Perform other related duties as assigned
Remain flexible and adaptable in work schedules and
How You'll Work.
Communication Scope
Verbal communication; Written communication; Interpersonal skills
Full Job Description
What we are looking for Optime Care is seeking a Pharmacy Technician, or Care Coordinator, as we call them internally, for our Earth City, MO location. We are looking for someone passionate about helping people get the specialized therapies they need. This critical role serves as a patient's first or ongoing point of contact. They will act as the patient advocate and champion, guiding patients through obtaining pharmaceuticals unavailable at chain pharmacies. This position will be required to be in the office for the first 120 days for training purposes. It can then be a hybrid role depending on business needs. What the position will be doing Act as a patient advocate to gain insurance coverage for prescribed therapies. Welcome new patients and create 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 appropriate entities 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 requests from clients. Perform other related duties as assigned or as necessary; remains flexible and adaptable in work schedules and work assignment
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