What are the responsibilities and job description for the Clin Pharmacy Liaison position at Advocate Aurora?
Major Responsibilities:
Licensure, Registration, and/or Certification Required:
Education Required:
Experience Required:
Knowledge, Skills & Abilities Required:
Physical Requirements and Working Conditions:
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
- Collaborate with providers and patients to identify specialty pharmacy enrollment opportunities without impeding patient choice.
- Facilitate all benefits investigation, prior authorization, and financial assistance work needed with Pre-Service team to ensure patients have access to the medication they need.
- Oversee services provided to clinic patients – ensuring that everything from order entry to final verification is completed quickly, accurately, and in accordance with patient’s needs.
- Provide direct support to clinical staff and patients to ensure that they are supported throughout their therapy regimen and achieve their intended outcome. Including: Conducting outbound phone calls for patient support, adherence checks, and refill reminder, accepting inbound calls from patients and providers to address questions and concerns, triaging clinical questions to an appropriate clinician (pharmacist, nurse, or provider).
- Acts as a resource to clinical care team, which includes training/orienting, monitoring progress and accuracy of referrals, directs efforts, and provides technical guidance on more complex issues.
- Monitors and ensures adherence to regulatory and compliance standards, and that patient information is kept confidential. Assists management with the interpretation of department policies and procedures.
- Gathers, processes, and records required information into the pharmacy system for record keeping, insurance verification and label generation purposes. Responsible for filling, maintaining, troubleshooting, and reporting functions of the database systems, programs, and equipment. Maintains drug files for billing and system-wide inventory control purposes.
- Performs insurance and third-party system wide billing functions for prescription claims. This includes data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, submitting third-party claims, maintaining files of prior authorization, investigating, troubleshooting, and correcting errors in submission to third parties and handling private insurance and other third-party insurance coverage and prescription-related issues.
- Processes new patient data entry and/or automatic refill in a timely manner. Communicates need of adequate stock to meet the demand of the pharmacy.
- Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
Licensure, Registration, and/or Certification Required:
- Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board.
Education Required:
- High School Graduate.
Experience Required:
- Typically requires 5 years of experience in a pharmacy technician position that includes experience with third party insurance or Medicare within a retail environment.
Knowledge, Skills & Abilities Required:
- Demonstrated leadership skills such as delegation, team building, managing multiple priorities, problem solving, and decision making.
- Demonstrated knowledge of medication usage to appropriately identify the correctness of billing as well as appropriateness of medications for processing.
- Ability to understand and become knowledgeable of pharmacy standards, policies, procedures, and Health Insurance Portability and Accountability Act (HIPAA) regulations.
- Intermediate computer skills including the ability to navigate through a database and run reports. Proficient keyboarding skills and previous experience with Microsoft Office products, electronic mail and/or electronic health information records systems.
- Excellent communication (written and verbal) skills.
- Exceptional customer service and organization skills. Demonstrated ability to work effectively with providers, staff and patients.
- Must have high attention to detail and accuracy, and strong mathematical skills.
- Demonstrated ability to maintain confidentiality, take imitative, and to work independently with minimal supervision.
- Must be detail-oriented with the ability to handle multiple demands simultaneously.
Physical Requirements and Working Conditions:
- Exposed to a normal office environment.
- Must be able to:
- lift up to 35 lbs. from floor to chest-level.
- lift and carry up to 35 lbs. at waist height a reasonable distance.
- Must be able to:
- push/pull with 30 lbs. of force.
- Must be able to stand up majority of the workday.
- Must have functional speech, vision, and hearing.
- Will be exposed to chemical hazards; therefore, must have the ability to wear protective clothing as needed.
- Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Salary : $1 - $1,000,000
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