Pharmacy Specialist

To diligently perform infusion billing and collections services in alignment with client-specific contract terms, industry standards, and government compliance regulations. Through meticulous attention to detail and consistent adherence to established protocols, we ensure precise claim submission, efficient denial and payment resolution. Our commitment to accuracy and transparency supports the integrity of the revenue cycle while upholding the trust of clients and the continuity of essential patient care

Requirements

• Basic understanding of infusions claims process
• Ability to use Microsoft Office Suite
• Ability to adopt and adapt to new technological changes and advances
• Adherence to contractual, governmental, and industry standards of compliance
• Timely and accurate electronic/paper claims submission
• Timely and accurate electronic/paper secondary claims
• Delivery ticket / claim...

Summary:

TalentLNX is hiring a Pharmacy Shipping Specialist for a growing healthcare organization. This is a work-from-home call center position focused on directly supporting patients, ensuring accurate and timely procesFng of their referrals and prescriptions. The Specialist will play a key role in patient interactions, managing communication and resolving any issues related to their care.

Role & Responsibilities:

- Handle incoming and outgoing calls to manage patient referrals and prescription processes, ensuring all communications are efficient and patient-focused.

- Assist patients with inquiries regarding their prescriptions, monitor progress, and resolve any discrepancies.

- Maintain accurate records of all patient interactions, including call logs and action items.

- Identify and resolve patient-specific issues to ensure smooth processing and timely delivery of services.

- Act as the main point of contact...

Summary:

TalentLNX is seeking a detail-oriented and efficient Pharmacy Data Entry Specialist to join our growing healthcare team. In this crucial role, you will be responsible for accurately entering, updating, and managing patient prescription data, ensuring that all information is correct and compliant with industry standards. If you have a keen eye for detail and a passion for supporting patient care, this position is for you!

Role & Responsibilities:

- Accurately enter and maintain patient prescription information into the pharmacy management system.

- Review prescription data for accuracy and completeness, identifying and correcting errors as necessary.

- Collaborate with pharmacists and healthcare providers to verify prescription information and resolve discrepancies.

- Monitor data entry processes and suggest improvements for increased efficiency and accuracy.

- Maintain strict confidentiality of patient...

The Clinical Pharmacist Specialist provides specialized pharmaceutical services to improve drug usage and therapeutic outcomes for patients. Collaborates with the pharmacy leadership in developing training and education programs and evaluation processes for clinical activities of the pharmacist staff in the clinical specialist’s specific area of expertise. Prepares formulary review and medication use evaluations of medications used in their area of clinical expertise for presentation to the Pharmacy and Therapeutics Committee

Requirements

Doctorate Degree or combination experience may be considered in lieu of Doctorate Degree

Completed Pharmacy Residency Required

Certification and Licensure

PA Pharmacy License must be obtained within 90 days of hire.

About IHTC

At the Indiana Hemophilia & Thrombosis Center (IHTC), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.

What You Will Do

As a Pharmacy Precertification Specialist, you will be responsible for verifying patient eligibility with payers and works in conjunction with the pharmacy staff and providers to coordinate referrals, precertification, or prior authorizations for medications.

The Opportunity

• Secure appropriate medical documentation requested by third-party insurance providers.
• Verify insurance coverage for pharmacy benefits.
• Prior to expected date of service, prepare and submit precertification and prior authorizations to physicians, hospitals, and third party payers. Follow...