General Summary: A nonexempt position responsible to coordinate the activity of pharmaceuticals, such as Xolair, for the practice. These responsibilities will include: Appointment scheduling; Obtaining prior authorizations; Ordering; Inventory tracking & reconciliation; Collecting patient-due amounts; and other needed tasks
Essential Job Responsibilities:
- Determine if the pharmaceutical should be handled as Buy & Bill or Specialty Pharmacy
- Obtain pre-authorization for drug purchase
- Order pharmaceutical from the drug company
- Assist patient with copay assistance
- Provide estimates to patients on their financial responsibility
- Checks and balances to verify that we are ordering and billing correctly
- At the end of each day run scheduling and charge reports to ensure that Buy & Bill and Specialty Pharmacy injections have been billed appropriately
- Collect patient-due amounts
- Accounts Receivables - follow up, denials monitoring and appeals
- Monitor and track drug inventory per location
- Other tasks as requested by supervisor