General Summary: A nonexempt 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:
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Determine if the pharmaceutical should be handled as Buy & Bill or Specialty Pharmacy
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Obtain pre-authorization for drug purchase
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Order pharmaceutical from the drug company
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Assist patient with copay assistance
- Provide estimates to patients on their financial responsibility
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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
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Accounts Receivables - follow up, denials monitoring and appeals
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Monitor and track drug inventory per location
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Other tasks as requested by supervisor
Education: High school diploma or equivalent.
Experience: At least 1 year of insurance verification, and charge auditing
Other Requirements: None
Performance Requirements:
Skills:
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Ability to multi-task
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Attention to detail
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Ability to read accounts and understand medical terms
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Excellent customer service and communication skills
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Exhibit high level of professional behavior
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Ability to learn quickly and work well under pressure
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Ability to work independently and as a team
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
Work Environment: Position is in a well-lighted office environment.
Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder.
