Optime Care · 1 day ago
Pharmacy Technician - Specialty Pharmacy
Earth City, MO
Full-time
Hybrid
Entry, Mid Level
2+ years expOptime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. They are seeking a Pharmacy Technician, or Care Coordinator, to act as a patient advocate and assist in obtaining pharmaceuticals and coordinating care for patients.
Health CareMedicalPersonal HealthPharmaceutical
Responsibilities
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 assignments as defined by departmental and organization needs
Qualification
Required
A high school diploma or equivalent is required
2 or more years of experience with medical/pharmacy insurance verification, including benefit investigation
Current Missouri BOP Pharmacy Technician license, or Nurse license in good standing
Knowledge of medical terminology required
Knowledge of medical/pharmacy insurance benefit language- ie. 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
Knowledge of insurance claim appeals
Relentless attention to detail, and the ability to be a creative self-starter and team player
Computer literate and proficient with Microsoft Office
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
Excellent written and verbal communication skills and interpersonal skills are required
Willingness to work a flexible schedule
Preferred
Patient Assistance Program knowledge is a plus
Experience with prior authorization and SMN preparation
Company
Optime Care
Optime Care creates partnerships for personalized care with a specific focus on disorders affecting smaller patient communities.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Michelle Hefley
Co-Founder
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