Pharmacy Liaison-Outpatient Pharmacy, 40hr, Day
About The Position
At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Under direct supervision of operations manager, performs benefit investigation tasks such as running test claims, submitting prior authorizations, documenting on the patient chart, and completing patient outreach and follow up calls.
Requirements
- High school diploma or equivalent.
- Current license with the Massachusetts Board of Pharmacy.
- Certified by one of the national governing bodies such as Pharmacy Technician Certification Board PTCB, or the National Healthcareer Association ExCPT. If the individual is not nationally certified they must become certified within 6 months of hire.
- Minimum of one year of related experience as a Pharmacy Technician.
- Position requires proficiency in math and, knowledge and ability to use a computer.
- Must be able to follow oral and written instructions with accuracy, efficiency, and dependability.
- Ability to work in a hybrid or remote environment.
- Positive work ethic, motivated and professional demeanor to promote teamwork in the department.
Responsibilities
- Completes benefit investigations when requested and appropriately documents result on patient electronic medical record.
- Submit prior authorizations to insurance via different methods including online and telephone.
- Appeal decisions as necessary and conduct follow up phone call inquiries to insurance.
- Knowledgeable in manufacturer patient savings opportunities and communicates information clearly and effectively to providers and patients.
- Performs follow up phone calls to patients as needed regarding insurance decisions, rejections, and prescription filling information.
- Maintains a perpetual inventory of appropriate medications from internal pharmacies and communicates to clinic team daily.
- Coordinates prescription delivery with patient and Home Delivery pharmacy and queues prescription up for home delivery team.
- Maintains a clean work area and assists in quality indicator monitoring.
- Participates in identifying problems or areas for improvement and assists manager with problem solving projects and improving operations; participates in Continuous Quality Improvement activities and/or teams
- Will assist with pharmacy operations tasks including prescription sorting, filling, and patient out reach of Prescriptions Direct patient outreach
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
