Toledo Clinic Inc Maumee , OH 43537
Posted 2 weeks ago
At our Maumee Cancer Center
Hours: Monday
Friday 8:00 am
4:30 pm
General Summary:
The Pharmacy Financial Assistant is responsible for aiding patients with obtaining financial assistance through the form of grants and manufacturer free drug programs, and educating patients on insurance structure and copays. This individual is responsible for pharmacy cashier duties, and may also be required to submit prior authorizations and track progress.
Supports the Patient-Centered Medical Home (PCMH) by working with patients, families, providers and other staff to promote timely access to needed care, provide daily continuity of care coordination, and coach patients, families and care givers to understand the patient care plan and self-care management responsibilities.
Principal Duties & Responsibilities:
Standard 1 - Pharmacy responsibilities
Assist in verifying patient benefits and determine the need for patient assistance
Maintains documentation of authorization process
Works with patients to obtain and complete the application for assistance
Initiates requests for patient assistance as needed
Tracks progress of financial assistance and anticipates patient needs
Uses PioneerRx system in dispensing process
Manage patient information in PioneerRx system including allergies, diagnosis, insurance information
Assist/maintain ordering of medications, supplies and inventory for pharmacy
Contacts GPO/wholesaler and PioneerRx staff to solve problems when any technical issues with system arise
Open/close POS register daily
Maintain correct count of money received
Assure correct amount of petty cash is in drawer at start up and shut down
Assure account reconciles at end of day
Process prior authorizations and communicate with insurance companies as needed
Coordinates requests for oral chemotherapy authorizations
Completes REMs and other regulatory requirements
Assures copy is available in electronic chart
Maintains records in easily retrievable format for reporting purposes
Completes OARRS report requirements
Serves as a designated employee for providers
Regularly reviews OARRS website and completes required reports
Manage inbound and outbound mail and courier coolers/bags
Standard 2 - Behavior
Communication
Exhibits excellent written and verbal skills.
Utilizes assertive communication skills in addressing concerns or problems.
Participates as a member of organization/institutional committees as requested.
Initiative
Able to conceive innovative strategies and ideas for the center, exhibiting "out of the box" thinking.
Performs job duties effectively with minimal direction.
Initiates new ideas and projects that enhance patient care or other aspects of services and care.
Team Orientation
Service as a team member among co-workers and peers.
Participates in TCCC activities that enhance patient care and work surroundings.
Patient Privacy
Participates in assuring that all personally identifiable healthcare information of the patient will be maintained confidential.
Assures that any oral or written disclosure of personally identifiable healthcare information should be minimum necessary to serve the purpose of performing quality care to the patient.
Understands any disclosure outside payment, treatment, or healthcare operations requires written patient authorization in each instance.
Respect
Other duties as assigned
Knowledge, Skills & Abilities Required:
Required:
Minimum of one year medical experience in pharmacy setting
Knowledge of medical chart reporting/records
Knowledge of patient assistance programs
Knowledge of POS systems
Skill in appropriate assessment and assistance techniques
Sill in appropriate use of universal precautions, safe workplace and confidentiality methods
Skill in health information management by appropriately charting patient data
Skill in examining orders for correctness and interpreting accuracy
Ability to work effectively as team members with physicians and other staff.
Ability to appropriately interact with patients, families, staff, and others
Ability to flexibly respond to changing demands.
Ability to communicate clearly and effectively orally and in writing.
Ability to submit accurate charges for services rendered.
Ability to excel in an environment of constant change, problems and unexpected interruptions, where extreme pressure to deliver results is expected.
Skills in establishing and maintaining effective working relationships with physicians and non-physician support staff.
Knowledge of computer systems and applications.
Working knowledge of Clinical IT applications.
Education:
Preferred:
Outpatient pharmacy experience preferred
Clinic and/or medical office experience preferred.
Knowledge of specialty pharmacy processes
Knowledge of PioneerRx system and POS register
Skill in understanding chemotherapy treatment plans
Knowledge of policies and procedures related to care of oncology patients
Toledo Clinic Inc