-
JOB SUMMARY
The chief objective of this position:
To improve revenue collection pertaining to high cost medications that require prior authorization. Will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. Carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. Works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. Arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, familiar with disease state terminology or willingness to research. Works as a Pharmacy Technician when deemed necessary.
Licensure, Certification, or Registration Requirements for Hire:
-
Current certification by the Pharmacy Technician Certification Board (PTCB)
-
Current licensure with the Virginia State Board of Pharmacy
-
By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy related convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy
Licensure, Certification, or Registration Requirements for continued employment:
Experience REQUIRED:
-
Minimum of one (1) year previous pharmacy practice experience in a similar setting
-
Minimum of three (3) years prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
-
Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc.
Education/training REQUIRED: (Note: work experience may be considered in lieu of credentials not required by law with HR approval. Work experience must be specific to role)
Education/training PREFERRED:
-
Location: VCU Health System ยท IM-HEM ONC CLINIC – SP
Schedule: Full time, 1: Days
Source: Indeed.com
Click Here To Apply
