Intake and Pharmacy Technician

Intake and Pharmacy Technician
Location: Morris Plains, NJ
Job Id: 4722
# of Openings: 1
BioScrip, Inc. is the largest independent national provider of infusion and home care management solutions, with approximately 2,100 teammates and nearly 70 service locations across the U.S. BioScrip partners with physicians, hospital systems, payors, pharmaceutical manufacturers and skilled nursing facilities to provide patients access to post-acute care services. BioScrip operates with a commitment to bring customer-focused pharmacy and related healthcare infusion therapy services into the home or alternate-site setting. By collaborating with the full spectrum of healthcare professionals and the patient, BioScrip provides cost-effective care that is driven by clinical excellence, customer service, and values that promote positive outcomes and an enhanced quality of life for those it serves. Ours is a fast-paced dynamic work environment with room for new ideas and opportunities for career advancement. We offer a wide array of welfare benefits as well as Tuition Reimbursement, an Employee Referral Program, and a 401(k) Retirement Savings.
Due to our exceptional growth and success, we are recruiting for an Intake and Pharmacy Technician to join our team.
This position is responsible for processing all new patient referrals, managing current patient base and providing support to the Intake/ Authorization Manager or General Manager. The main objective is to clear all patients prior to service in order to ensure proper payment in compliance within all legal and regulatory parameters, in cooperation with all other branch departments, and as an efficient and profitable business center.
To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation.
+ Evaluates referrals against branch service model parameters.
+ Complies with reimbursement for products and services in compliance with Company policy and goals, to include drug, supply, and equipment selection and utilization, and participates in the submission of clean claims through compliance to proper pharmacy billing procedures
+ Enters new prescriptions into the pharmacy computer system where permitted by state pharmacy regulation, and under the direct supervision of the Pharmacist after their review of the prescription and in accordance with Company policy and procedure.
+ Assists in coordination of patient assessment, drug compounding, and delivery to meet on time and delivery deadlines.
+ May process prescription refills as needed, to include:
+ refill confirmation when appropriate;
+ review of pending refills with the supervising Pharmacist;
+ generate the refill documentation;
+ adjudicate medication based pharmacy claims when appropriate.
+ Communicates with various payors, referral sources, patients and sales representatives.
+ Verifies eligibility and benefits accurately and in a timely manner in accordance with Company policies.
+ Obtains initial authorizations following Company policy and maintains authorizations extension for all patients as appropriate. May obtain written prescription orders from physicians.
+ Processes all required paperwork according to established procedures. Ensures all documentation needed for billing is collected prior to or soon after accepting the referral.
+ Answers telephone calls and emails in a professional and timely manner.
+ Attends all required in services throughout the year.
+ Performs other duties as assigned.
+ High school diploma or equivalent is required,
+ National pharmacy technician certification preferred,
+ Meets all state requirements for a Pharmacy Technician , which may be registration, licensure or certification;
+ Minimum of one (1) year experience with medical insurance authorization in infusion services or other healthcare profession preferred;
+ Minimum of one year customer service preferred;
+ Home infusion experience on the provider or payor side preferred;
+ Experiential requirements may be waived in lieu of evidence of progressive growth in and attainment of the skills necessary to perform the required duties.
The requirements listed below are representative of the knowledge, skill, and/or ability required, with or without reasonable accommodation.
+ Knowledge of HCPC Codes and ICD-9 Codes and maintains up to date professional knowledge of Medicare, Medicaid and the insurance industry requirements for qualifying services.
+ Knowledge of local, state, federal, and other regulations; knowledge of regulations and legal requirements governing the industry.
+ Ability to foster a cooperative work environment.
+ Strong interpersonal and communication skills and the ability to work effectively with branch departments.
+ Knowledge of computerized information systems, including financial applications.
+ Knowledge of infusion pharmacy, durable medical and respiratory equipment reimbursement for state, federal and commercial payors.
+ Ability to develop and maintain recordkeeping systems and procedures.
+ Knowledge of the computer and its capabilities.
+ Working knowledge of medical terminology.
+ Ability to perform work in an organized fashion with focus on complete information and time related deadlines.
+ Ability to complete multiple projects with time sensitive deadlines.
+ Ability to manage more than one priority project at a time.
+ Ability to work as part of a team to complete assigned tasks.
+ Ability to exercise independent judgment and at times work independently while remaining cognizant of the supervisory pharmacist?s role related to prescription entry, patient screening, and refills .
+ Ability to accept direction and complete work according to instruction.
+ Ability to enlist cooperation of other people and department in completing assigned work and projects.
+ Ability to work under high levels of stress.
+ Ability to prioritize and handle multiple tasks and projects concurrently.
+ Demonstrated knowledge and proficiency in the principles, procedures and best practices related to this position.
+ Excellent verbal and written communication skills.
+ Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office.
+ Ability to work with confidential material and maintain confidentiality along with sensitivity to employee?s needs and data.
+ Strong attention to detail.
+ Strong analytical skills.
Language Skills
Ability to read, analyze and interpret information appropriate to duties and responsibilities assigned. Ability to operate information systems, follow policy, complete required forms, and prepare reports. Ability to effectively present information and respond to questions from referral sources, managers, patients, employees, payors and the general public.
Mathematical Skills
Ability to calculate and perform basic mathematical calculations such as pharmaceutical calculations, discounts, percentages, and volume.
Reasoning Ability
Ability to define problems, collect data, establish facts, and draw valid conclusions.
BioScrip is an equal opportunity employer. All employment decisions are made without regard to age, color, race, ancestry, national origin, disability, genetic information, military status, religion, creed, sex, pregnancy, childbirth, marital status, citizenship, sexual orientation, gender identity, gender expression, legally protected medical condition, or any other basis prohibited by applicable law. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran.

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