What are the responsibilities and job description for the Pharmacy Care Specialist position at SuperCare Health?
“Improving the lives of those with chronic care diseases while providing solutions to our customers."
Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.
Essential Duties:
Under the general supervision of the Pharmacy Care Supervisor is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which includes; patients, clients, referral sources, physicians, sales representatives, and fellow coworkers.
Responsibilities:
- Answers incoming phone calls and faxes, takes customers’ orders for durable medical and respiratory equipment and or medications
- Provide and update Customer Service, Resp. Account Exec., Care Coordinator, and Referrals, on ETA’s and order status
- Process all assigned IVR refill patients on a daily basis
- Responsible for communicating with fellow team members on a regular basis on incoming or pending order
- Maintains open communication with patients/clients and referral sources
- Responds to patient/client questions and problems
- Services walk in customers as needed
- Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested
- Gathers all necessary documentation, prior to delivery CMN, Rx, Auth, etc.
- Verifies medical necessity with physician
- Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract
- Verifies payer (with matrix), obtains authorization, expiration date
- Verifies patient demographics and prior equipment usage with patient
- Informs patient of financial responsibilities: copay, share of cost, deductible, etc.
- Enters data and each order (new or otherwise) in system accurately and in a timely manner
- Processes closet and on call orders as received
- Enters notes in appropriate areas of insurance, general, and authorizations in the computer system
- Process orders for Pharmacy Technician to print/fill and or dispatch
- Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information
- Attends all departmental meetings, company meetings, and in-services
- Reports to work daily and is ready to work at the scheduled start time
- Works Saturday assignment as needed or scheduled
- Performs any other duties that may be requested by supervisor or management
- Assist Pharmacy Supervisor with managing Unbilled / open orders
- Understand and adheres to all of SuperCare Health company policies
- To remain knowledgeable to date on all products, guidelines and insurance coverage trends
- Maintain a professional safe and clean work environment.
- Understand and adheres to all of SuperCare Health company policies and HIPPA guidelines.
- Must meet minimum of monthly goals
Education and/or Experience:
- Experience with Medical Supply Company
- Knowledge of diagnosis and Medical terminology
- Excellent Customer Service skills
- Detail oriented
- Proficiency in Microsoft Word, Outlook, and PowerPoint
- Experience in healthcare, medical and/or HME industry (preferred)
- Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
- Strong organizational skills and detail oriented
Perks:
- Paid Training
- Sick Time
- Paid Mileage
- Growth Opportunities
- Employee Referral Reward Program
- Employee Discount Program
What SuperCare Health is About
"SuperCare Health is a comprehensive, post- acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes.
Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients.
Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to- end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program.
We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.``
Connect With Us!
Company Website https://supercarehealth.com/
Company Business Hours - 8:30 AM – 5:30 PM PST
LinkedIn https://www.linkedin.com/company/273667/admin/
Twitter https://twitter.com/SuperCareHealth
Facebook https://www.facebook.com/SuperCareHealth/
Instagram https://www.instagram.com/supercarehealth/
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