Under the supervision of the pharmacist, assists in pharmacy practice in accordance with state, federal , and Company policy.
Operates pharmacy systems and software to obtain patient and drug information, process prescriptions, and perform other necessary functions on the system per policies and regulations.
Reviews and researches invalid prescriptions to determine needed information.
Contacts the provider or patient to obtain accurate information to continue processing the prescription .
Triage and resolve issues or concerns relating to invalid prescriptions, inability to take medica tions, and issues to the appropriate team (i.e. , PA, appeals, funding, COB, clinical).
Contacts insurance or payer to verify that prescribed medication coverage is within defined perimeters .
Works with the pharmacist and/or nurse to contact providers and insurance companies to verify prescriptions, overrides, and other approvals .
Enters patient, doctor, insurance, and prescription information quickly and accurately into the computer system and processes the claims for adjudication to determine coverage issues .
Investigates patient insurance benefits and other supplemental payer information to minimize out -of- pocket expenses; advocate on the patient ’s behalf to identify and assess reimbursement coverage options for those with insurance .
Process prescriptions from intake to order completion.
Maintains knowledge of Company loss prevention techniques.
Completes assignments and works on special projects as assigned.
Stays current with industry practices that relate to job responsibilities and integrates them.
Immediately reports prescription errors to the pharmacist on duty and adheres to Company policies and procedures .
Handles telephone calls that do not require the personal attention of the pharmacist.
Processes manual claims for third- party program prescription services and performs other clerical duties as assigned by the Pharmacy Manager.
Builds rapport with coworkers, internal customers, and other departments to promote the highest customer service and a positive company image .
Follows drug manufacturer REMS program requirements for limited distribution of drugs .
Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed the Policy and Procedure manu al.
