Administrative Skills, Billing, Customer Support/Service, Data Entry, Federal Laws and Regulations, Healthcare, Identify Issues, Maintain Compliance, Medical Billing, Medical Records, Medications, Needs Assessment, Nursing, Nursing Management, Onboarding, Oncology, Organizational Skills, Patient Care, Patient Education, Patient Follow-up, Pharmacy, Record Keeping, Registered Nurse (RN), Regulations, Reimbursement, Reporting Skills, Service Delivery, State Laws and Regulations, Systems/Internals Programming, Telephone Triage, Third-Party Payer, Treatment Plan
Responsibilities/Job Description:
This position works directly with pharmacy patients, medical and nursing staff to manage complex medication needs. This includes customer service, preparing, labeling and delivering medication and supplies and ensuring claims are submitted correctly and paid by third party payers. Build and maintain professional relationships with providers, patients, families, insurers, other units and staff to maximize service delivery. Develop, implement, and maintain processes to ensure the pharmacy site is efficient and effective. Provide administrative support, work with units to achieve overall goals, coordinate workflow, maintain records, ensure compliance with state and federal regulations, and anticipate business needs to assist in the growth and success of the business
Job Expectations:
- Data entry of new drug orders, ancillary orders, and supply needs for new onboarding patients. Data entry of all needed drug orders, ancillary orders, and supply requests for any refills on existing patients
- Verify appropriate orders are in place for requests and refer to the pharmacist if order needs to be obtained
- Assess the work volume and assign work assignments with the pharmacists for the day based on the daily list generated via reporting system. Identify what team is best needed for the work assignments and collaborate with internal departments, RN’s, HIM, Intake, Production to ensure all needed assignments are being handled by appropriate teams. Guide the team on daily work assignment and maintain and evaluate that the work assignments are being completed in a reasonable time
- Collaborating closely with our Nursing staff to ensure all patients are receiving the appropriate and correct supplies, education and help with any troubleshooting needs outside of the pharmacy personnel.
- Collaborate with our intake (benefits) team to ensure correct device type is used to ensure reimbursement from payor will be made. Collaborate with our billing team on any billing concern and coordinating with patient to troubleshoot needs to ensure reimbursement from payor.
- Contact, communicate and set up with our patients any needed deliveries, supply requests or inquiries received for the day
- Coordinate with our Oncology sites, both Fairview sites and outside contracted sites, needed deliveries, supply requests, or inquires. Ensure all needs are met in a reasonable time.
- Coordinate, communicate and set up any needs received from both FHI and outside nursing agencies for current, pending, and new onboarding patients.
- Coordinate with outside nursing agency to ensure patients are receiving appropriate deliveries and supplies needed on appropriate days and times to ensure product is stable and sterile at time of usage.
- Triage any phone calls coming through our phone tree to the appropriate interdisciplinary team using exceptional customer service to both our internal and external customers.
- Ensure all lab results needing to be assessed are available to the RPh and help track them down if unable to obtain thru EMRN. Call lab, nursing agency and patient to obtain information needed to verify lab was drawn, which lab was used, and time lab was completed.
- Follow up with nursing agency to ensure all patients that are done with service have had their VAD removed and document this correctly for RPh to complete order. Ensure order is written and document on patient profile for follow up.
- Ensure all tasks have been completed on the daily assignments by the end of the day, communicate any outstanding items to the appropriate staff to ensure follow up is done.
- Troubleshoot any late/missing deliveries by using our internal programs, as well as collaborating with our outside partners to ensure delivery is made or replaced due to stability/sterility, time of need and distance from our location
- Ensure all triage items are completed by the end of day and appropriate staff has been notified of any needs
Organization Expectations, as applicable:
- Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
- Partners with patient care giver in care/decision making.
- Communicates in a respective manner.
- Ensures a safe, secure environment.
- Individualizes plan of care to meet patient needs.
- Modifies clinical interventions based on population served.
- Provides patient education based on as assessment of learning needs of patient/care giver.
- Fulfills all organizational requirements.
- Completes all required learning relevant to the role.
- Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
- Fosters a culture of improvement, efficiency and innovative thinking.
- Performs other duties as assigned.
Minimum Qualifications to Fulfill Job Responsibilities:
Required
Experience
2 to 3 years of pharmacy technician experience in a pharmacy setting
License/Certification/Registration
Must be Nationally certified or certified within 6 months of starting the position
Preferred
Education
Bachelor’s degree in business or healthcare or equivalent years of experience.
Experience
3 years of pharmacy experience
License/Certification/Registration
Nationally certified
Qualifications:
$21.84- $30.83 Hourly
F
Fairview Health Services