Job Snapshot
Location:
Bowling Green/Paducah, KY 42503
Industry:
Healthcare - Health Services
Contact Information
Description
OptionCare, a wholly owned subsidiary of Walgreens specializes in providing comprehensive care to patients with acute and chronic conditions in their homes, ambulatory treatment centers and physician offices. Its services include intake coordination, benefits and reimbursement support, medication fulfillment and administration, compliance and patient education, one-on-one care and customer service. Skilled nurses and pharmacists are accessible 24/7 to deliver and manage complex infusion and injectable therapies from more than 100 OptionCare home infusion and specialty pharmacies in 35 states. OptionCare's services also include respiratory therapy and home medical equipment at some locations.
Job Duties Include:
Responsible for taking Infusion Therapy and Home Health referrals from referral sources. Ensures that all intakes forms are complete, clear and within Walgreens-Option Care's scope of service. Verifies insurance, enters patient demographics into the computer system, communicates with other departments regarding status of referrals and notifies patients/families regarding coverage and payment responsibilities. Accepts in-coming Home Health referrals. Speaks knowledgeably of the scope of services that Walgreens-Option Care can provide. Speaks knowledgeably regarding reimbursement issues and which insurance companies Walgreens-Option Care has active contracts with. Is able to take complete, accurate intakes. Completes, maintains and distributes the referral log. Ensures that insurance verification is completed prior to giving the referral to a Clinical/Care manager and/or Pharmacist. Ensures that the Clinical/Care Manager and Pharmacist receives the referral in a timely fashion. Assists the Clinical/Care Managers with any necessary sub-contracting of services. Assists the Clinical/Case Manager with various tasks related to Case Management.
Requirements
- Excellent Medical Terminology skills.
- Excellent written and verbal communication skills.
- Ability to learn and understand reimbursement issues and Medicare guidelines.
- One to two years' experience in health related field.
- High school diploma with one year post high school education.
Preferred Qualifications:
Licensed Practical Nurse. Two years experience in Home Health Care. Working knowledge of Medicare/Medicaid Home Health reimbursement guidelines.
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