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Form of work
SalaryPharmacy Benefits Specialist
General Summary: A non-exempt position responsible to coordinate the activity of pharmaceuticals, such as Xolair, for the practice. These responsibilities will include: Appointment scheduling; Obtaining prior authorizations; Ordering; Inventory tracking & reconciliation; Collecting patient-due amounts; and other needed tasks
Essential Job Responsibilities:
Determine if the pharmaceutical should be handled as Buy & Bill or Specialty Pharmacy
Obtain pre-authorization for drug purchase
Order pharmaceutical from the drug company
Assist patient with copay assistance
Provide estimates to patients on their financial responsibility
Checks and balances to verify that we are ordering and billing correctly
At the end of each day run scheduling and charge reports to ensure that Buy & Bill and Specialty Pharmacy injections have been billed appropriately
Collect patient-due amounts
Accounts Receivables - follow up, denials monitoring and appeals
Monitor and track drug inventory per location
Other tasks as requested by supervisor
Education: High school diploma or equivalent.
Experience: At least 1 year of insurance verification, and charge auditing
Job Type: Full-time
Pay: $16.00 - $21.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Schedule:
- Monday to Friday
Work Location: In person
