Responsible for the timely and accurate data entry of patient, prescriber, prescription, and insurance information into the company's Rx processing and eNav software. Also responsible for obtaining, processing and adjudicating patient prescription claims to insurance from various disease states.
High school diploma or general education degree (GED) required. Associates degree preferred. Three plus years of Pharmacy Technician/Order Entry Technician experience required.
Certificates and Licenses:
Duties and Responsibilities include the following. Other duties may be assigned.
Acts as liaison between company, patients, Insurances, Pharma and Provider's office via phone, fax and e-mail communications. Ability to communicate effectively in both verbal and written communications.
Accepts prescriptions and makes sure all necessary information including insurance verification is available to process orders.
Processes prescriptions through pharmacy dispensing software following all laws for each state for which the medication is being dispensed from.
Maintains documentation of calls to and from patients, caregivers, insurances, providers, and Pharma.
Keeps current with new treatment trends.
Communicates patient status to physician's offices/clinics.
Maintains patient confidentiality.
Dedicated Single Point of Contact for Offices and/or Pharma.
Ability to manage patients across multiple disease states or multiple workflow processes within a COE.
Audit/Checking new employee's work.
Develop Training/Job Aides; Training Assistant.
Meet higher production standards/quality expectations.
Interim Lead; Mentoring of staff
Helps in the development of department SOPs.
Manages implementation of new medications and manages and trains staff thru the Implementation process.
Performs other duties and responsibilities as assigned.
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
Knowledgeable of all areas of the pharmacy industry, medical billing, or medical background is preferred.
Customer service skills
Ability to multi-task and be detail oriented
Ability to works efficiently without creating distraction or disruption to other employees
Ability to relate well and communicate effectively with other employees and patients
Ability to work well with various personalities and work as a team
Should be independent and self-motivated
Ability to work and accomplish goals with little to no supervision
Must be dependable and maintain levels of confidentiality
General knowledge of internet navigation and research
Knowledge of e-mail, fax transmission, and copy equipment are essential
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.
Diplomat Pharmacy, Inc.