- Location
- TNO - Park Pharmacy | Nashville, TN, United States of America
- Type
- Full-time
- Department
- IT
- Experience
- 3+ years
- Source
- Workday
Description
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
The Certified Pharmacy Care Technician is responsible for customer service and all order entry functions to meet customer demands in compliance with Board of Pharmacy, Federal, DEA, Accreditation, and other regulatory agencies. Specific areas of focus will be on medication adherence, processing and coordination between patients, insurance, patient assistance, and clinic staff.
ESSENTIAL FUNCTIONS: ESSENTIAL FUNCTIONS:
- Perform insurance verification, order entry and prescription processing from multiple modalities
- Review prescriptions for accuracy and completion
- Follow procedures and scripts during patient engagement
- Decipher single or multiple script needs based on availability of dosage formulations
- Onboard all new patients
- Setup and verify all medication deliveries
- Coordinate all prescription orders sent to external specialty pharmacies
- Complete specialty claims processing including but not limited to inclusion of prior authorizations, rejections, copay cards, and overrides
- Process commercial, Medicare D and B including supplemental claims
- Identify and match claims to appropriate co-pay assistance cards, foundation assistance and apply appropriately to the adjudicated claims
- Troubleshoot complex insurance problem resolutions covered in summary
- Assist in cross functional activities with different teams
- Answer patient calls, as required and assist with patients’ needs and questions
- Triage and resolve voicemail, messenger, and Inbox
- Obtain and coordinate payments
- Manage inbound faxes
- Participate in Quality Improvement/Assurance meetings, committees, and ongoing projects as needed
- Participate in pharmacy and organizational projects and initiatives
- Perform patient outreach at designated cadence within care plan to assess medication adherence and identify any deterrents
- Check for medication changes and/or discrepancies (dose changes, discontinued medications etc)
- Work within multiple computer systems simultaneously
- Notate all necessary call content with minimal wrap-up time
- Connect patients with pharmacist regarding all medication questions and ensure prompt response to the patient’s question
- Conduct data entry, data quality check and data reconciliation to ensure consistent documentation
- Perform other tasks as assigned by management
- KNOWLEDGE, SKILLS & ABILITIES:· Ability to manage time to meet daily deadlines· Ability to follow instructions and procedures
- Adaptability to variations in workload
- Ability to multitask while maintaining accuracy and proficiency
- Ability to critically analyze situations and identify possible solutions independently
- Skill in data entry, and basic computer usage
- Ability to work independently and cooperatively in a team environment
- · Active listener who possesses effective and professional communication skills· Ability to identify and integrate traditional and/or digital solutions into the patient experience to facilitate therapy adherence
- undefined
- EDUCATION & EXPERIENCE:· Minimum 3 years retail experience or 2 years in Specialty Pharmacy environment· TN State Pharmacy Technician license active and in good standing or obtained within 90 days of hire if not previously licensed in TN· Pharmacy Technician Certification by an accredited body active and in good standing PHYSICAL REQUIREMENTS:Physical Activity RequiredAmount of timeNoneLess than 1/3
(Occasionally)1/3 to 2/3
(Frequently)More than 2/3
(Regularly)Standing X Walking X Sitting XFingering or manual dexterity XRepetitive finger motion XLifting or exerting force Up to 10 pounds Up to 25 pounds X Up to 50 pounds Up to 100 pounds Over 100 pounds Reaching or stretching X Climbing or balancing X Crouching or stooping X Speaking XHearing XSeeing (with correction) X