Pharmacy Technician

Position Summary:

As a pharmacy technician – billing specialist - you will be primarily responsible for accurate billing and adjudication of prescription orders, answering customer questions related to their pharmacy invoice, managing Accounts Receivable for all patients, calling insurance companies, and answering emails and phone calls. This position will work with FrameworkLTC, Cover My Meds, SAGE, and Payrazr as the primary software systems for billing and auditing all adjudicated claims. At Medicine Express, we support all pharmacy departments as one. While your primary role will be in the billing department, you will also assist with preparing medications for patient consumption under the general supervision of a licensed pharmacist and in accordance with standard departmental procedures wherever needed. Additionally, you will provide excellent customer service and quality of service to all patients and customers.

Qualities needed for Pharmacy Technician:

• Technological skills – familiarity with various technological skills such as Microsoft and Pharmacy Software highly recommended
• Strong interpersonal communication skills
• Highly organized and efficient
• Ability to identify and resolve problems
• Works independently and quietly to ensure distractions do not result in medication errors

Essential Duties include the following:

The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

• Performs duties assigned by a licensed pharmacist. Areas of work are checked routinely for maintenance of quality control. Work is conducted in accordance with generally accepted standards of practice following departmental procedures and policies as outlined in the department operations manual.
• Demonstrates competence in the area of regulatory compliance and ensures that the pharmacy stays in regulatory compliance with all regulatory agencies
• Reads and interprets physicians' orders and prescriptions received in the pharmacy and transcribes the information into the pharmacy computer medication profile. Requires knowledge to adjust dosing times as pharmacy will generate MARs; prepares unit doses; and labels individual patient envelopes for dispensing to the nursing unit.
• Attends and participates in pharmacy tech meetings to exchange ideas to achieve goals of the department.
• Electronic billing of private pay, Medicare, Medicaid, and Third Party claims utilizing pharmacy software.
• Ensure accuracy of adjudicated claims by establishing and maintain auditing procedures.
• Manages Prior Authorizations required from Third Party Insurance
• Manages electronic claims log for rejected claims and supervises scheduled claims daily
• Follow-up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations.
• Follows company policy on billing and auditing procedures.
• Processes credit card transactions for charge accounts monthly
• Generate and transmit refill reports monthly
• Assist pharmacy manager with development and implementation of Therapeutic Interchange processes
• Keeps procedures up-to-date in pharmacy tech manual to train new personnel and to have quick reference to specific jobs so they are performed according to the policies of the department.
• Assists pharmacy staff with checking in orders, putting orders away and filing associated paperwork as needed.
• Continues to educate by attending drug in-services and keeping up with policy changes.

Qualifications, Education and/or Experience:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Active and undisciplined Pharmacy Technician Registration in the State of Illinois
• PTCB or NHA Pharmacy Technician Certification required
• Associate degree or degree from technical program, OR High school diploma and 1-2 years of experience as a Pharmacy Technician, or equivalent.
• APhA Pharmacy Technician Immunization Certification preferred
• Long Term Care pharmacy experience preferred
• Ethical Conduct.
• Possess the technical skills and abilities to perform and provide top notch service.
• Thoroughness & detail oriented
• Must be willing/able to work in rotating shifts which include weekends and holidays, and work during inclement weather will be required.
• Must be willing to work without cell phone, cell phones are kept in employee lockers during shifts.
• Great communication and interpersonal skills required along with the heart and passion to work with older adults while providing the best care possible
• Must have the ability to remain calm in stressful situations, to be flexible, to work well with many interruptions and have skill in multi-tasking
• Must exhibit and promote a high level of customer service, hospitality, curiosity and friendliness towards all residents, visitors, employees and the overall facility

Computer and Technological Skills:

• Proficiency with in-office telephones, basic computer skills (typing, emails, Internet browsers), cyber safety awareness, as well as Microsoft Office programs: Outlook, Excel, Word and Publisher applications

Work Environment & Physical Demands

This job operates in a health care setting. This position requires frequent standing and walking to storage shelves and filling counters to fill prescriptions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. The ability to see distinctions in colors and shapes is also required. This position is moderately active and requires standing and walking for the duration of the shift, as well as the ability to lift/move objects weighing up to 50lbs.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.