Cincinnati, OH30+ days ago
Performs other duties as deemed necessary by the Director of Pharmacy As a representative of both The Christ Hospital and the Department of Pharmacy Services, promotes a positive image in all dealings with other hospital employees and hospital guests Demonstrates a working knowledge of patient assistance programs, including new programs, third-party billing (Medicare, Ohio Welfare, Part D), Co-Pay Assistance, Insurance verification Serves as a resource person for billing problems (ICD-9, HCPCS), Part D and Medicaid MCO plan selection, Part D LIS Collaborates with physicians, clinic staff, case managers, pharmacy staff and Social Service to identify potential patients for enrollment both inpatient and outpatient Interviews patients to determine their potential qualification for patient assistance programs by reviewing health/prescription insurance and financial status Obtains clinical information from patient charts specific to program requirements Communicates with patient assistance program representatives to enroll patients Collaborates with physicians and clinic staff regarding additional documentation and signatures necessary for completion of enrollment forms Facilitates approval process with assistance program representatives Records patient specific drug supply shipment information and communicates with patient and health care professionals as necessary to facilitate patient care Communicates with assistance program representatives, patients, physicians and other parties as necessary for maintenance of patients in assistance programs Maintains a list of current and potentially new patients Serves as a resource person in planning, implementing and expanding access to patient assistance programs Maintains communication with The Christ Hospital Medicine Clinic for potential free medication or co-pay assistance. LICENSES & CERTIFICATIONS: Pharmacy Technician Certification Demonstrates a working knowledge of patient assistance programs, including new programs, third-party billing (Medicare, Ohio Welfare, Part D), Co-Pay Assistance, Insurance verification Serves as a resource person for billing problems (ICD-9, HCPCS), Part D and Medicaid MCO plan selection, Part D LIS Collaborates with physicians, clinic staff, case managers, pharmacy staff and Social Service to identify potential patients for enrollment both inpatient and outpatient Interviews patients to determine their potential qualification for patient assistance programs by reviewing health/prescription insurance and financial status Obtains clinical information from patient charts specific to program requirements Communicates with patient assistance program representatives to enroll patients Collaborates with physicians and clinic staff regarding additional documentation and signatures necessary for completion of enrollment forms Facilitates approval process with assistance program representatives Records patient specific drug supply shipment information and communicates with patient and health care professionals as necessary to facilitate patient care Communicates with assistance program representatives, patients, physicians and other parties as necessary for maintenance of patients in assistance programs Maintains a list of current and potentially new patients Serves as a resource person in planning, implementing and expanding access to patient assistance programs Maintains communication with The Christ Hospital Medicine Clinic for potential free medication or co-pay assistance.