
Senior Medication Specialist
6 days ago
Key Responsibilities:
- Verify the accuracy of medications using automated tools.
- Cross-check medication labels against prescriptions to ensure correct dosage and format.
- Flag missing or duplicate tablets or debris for removal.
- Highlight patients with incomplete data for review (black screens).
- Provide feedback on automation performance to improve accuracy and reliability.
- Review claims prior to submission to ensure accuracy and compliance with regulatory requirements.
- Verify patient eligibility for financial assistance programs and document submitted to support claim.
- Check all documentation for completeness and resolve discrepancies in records.
- Collaborate with the billing team to streamline claims submission processes.
- Migrate data from external systems into dispensing systems during new hospital and nursing home onboarding.
- Validate and reconcile data to ensure accuracy and completeness.
- Process monthly orders for current clients by reviewing the order placed and entering the order into the dispensing system.
- Handle first-line customer inquiries from nursing homes and hospitals regarding order confirmation and delivery times.
Essential Qualifications:
- Active pharmacist license (state or national, as applicable).
- 2+ years of experience in pharmacy operations, claims management, or clinical pharmacy.
- Familiarity with insurance claims, financial aid programs, and medication therapy management.
- Strong understanding of pharmacology, medication identification, and healthcare regulations.
- Proficiency with technology, including automated tools and claims management systems.
- Exceptional attention to detail and analytical skills.
Preferred Skills:
- Experience with medication packaging systems such as sachets or blister packs.
- Knowledge of automation applications in healthcare or pharmacy operations.
- Background in patient financial assistance programs or insurance processes.
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