High School Diploma or GED required; Bachelor's Degree preferred. Basic knowledge in homecare and 6 months recent experience with insurance verification, healthcare benefits assessment and paperwork and documentation for billing Medicare/Medicaid and commercial insurances required.
Duties and Responsibilities include the following. Other duties may be assigned.
Keep track of all AOBS, Patient Education, Pump Rental Agreement.
Transition all no-go patients at the sales rep's request to hospitals, other companies, or other entries.
Keep track of all emails and report pending patients with the most up to date information in morning meeting.
Check the fax machine or E-fax about every half hour and scan all new scripts, clinical information.
Keep up to date with the referral logs
Performs intake of initial patient referrals including collection patient demographic information, medical information, therapy information and insurance/financial information and documentation on the "IV Referral Form".
Completes initial paperwork on new admissions.
Notifies nursing, reimbursement, sales and pharmacy of new referrals/potential new admissions and coordinates new admissions with nursing, and pharmacy.
Participates in morning staff meetings with nursing and pharmacy
Reception duties as needed and Administrative project support
Creating and maintaining patient charts and enter new patients in to CPR+
Act as a liaison for Account Managers and Advocates.
Assist reimbursement with gathering information required for authorizations.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to comprehend and apply principles of basic math while analyzing data and generating reports.
Ability to apply principles of logical thinking to a wide range of intellectual and practical problems.
To perform this job successfully, an individual should have knowledge of Microsoft products.
Information Security Expectations:
While performing the duties of this job, the employee is required to abide by Diplomat's information security policies, employee handbook and security and privacy regulatory requirements. Each employee is responsible for the secure and appropriate handling of Diplomat information, information received by customers, other companies and/or external parties.
Knowledge, Skills and Other Abilities:
Oral and written communication skills
Ability to work well with various personalities and within a team
Participate in continuous quality improvement activities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk; sit and use hands. The employee is occasionally required to stand.
Equal Employment Opportunity and Affirmative Action: Diplomat provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Diplomat complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this role.
Diplomat Pharmacy, Inc.