Bilingual Pharmacy Clerk Job at CareNational
Bilingual Pharmacy Clerk
Campo, CA
Pharmacy Clerk Summary:
#Admin
#CARE4
Campo, CA
***Must be willing to float to all nearby labs***
** Full Time, Benefits Available, CONTRACT position, expected to last 5 months! **
** Full Time, Benefits Available, CONTRACT position, expected to last 5 months! **
Pharmacy Clerk Summary:
- The Pharmacy Clerk is primarily responsible for assisting in administering and maintaining Medicare pharmacy programs in compliance with Medicare Part D guidelines.
- The Pharmacy Clerk provides accurate assistance in filling orders, performing clerical duties and maintaining inventory
- Assists and serves patients, including accepting prescriptions and obtaining pertinent information from patients.
- Inputs patient and prescription data into the pharmacy computer system to process prescriptions and maintain patient profiles
- They respond to issues and questions regarding the prior authorization of claims and the formulary process. Preforms review of processing claims to assess validity and determine financial responsibility for medical services that the member received.
- They assist with the education of internal staff and contracted providers on pharmacy related Medicare Part D topics.
- Duties include communicating with members and providers by phone and responding accordingly to concerns, adjusting and or referring complaints to appropriate departments, and investigating issues to find proper solutions.
- Review, research, code and enter claims through several computer systems; enter patient grants for payment; import and reconcile data from electronic invoice transmissions.
- Must have experience handling prescription claims through Medicare Part D.
- Familiarity with Formulary Lists including common edits and restrictions.
- Experience working with Quality Improvement Initiatives and STAR Ratings is highly desirable.
- Must possess a solid understanding of pharmacy claims from the health insurance perspective.
- Demonstrated superior verbal communication skills by telephone.
- Excellent, clear speaking voice and solid command of the language.
- Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.
- Functions well in an environment that requires incumbent to be a self-starter.
- Bilingual in English and Spanish is required.
#Admin
#CARE4
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