
Virtual Medication Specialist
1 week ago
This role is ideal for a skilled pharmacist looking to advance their career in healthcare. Key responsibilities include medication verification, claims review, and data integration.
Key Responsibilities:- Medication Verification
- Verify the accuracy of medications packed into dose-ready sachets using AI-driven tools.
- Cross-check AI-identified medications against prescriptions to ensure correct dosage and format.
- Flag missing or duplicate tablets and debris to be removed.
- Highlight patients with missing data for redone processing (black screens).
- Provide feedback on AI performance to improve accuracy and reliability.
- Claims Review & Submission
- Review insurance/government claims prior to submission to ensure accuracy and compliance with payer requirements.
- Verify patient eligibility for financial assistance programs and document submissions to support claims.
- Check all paperwork for completeness and resolve discrepancies in documentation.
- Collaborate with the billing team to streamline claims submission processes.
- Data Integration & Onboarding
- Facilitate the migration of data from external systems into dispensing systems during new hospital/nursing home onboarding.
- Validate and reconcile data to ensure accuracy and completeness.
- Collaborate with onboarding teams for seamless integration, including VOIP communication.
- Monthly Order Processing
- Process monthly orders by reviewing orders placed and entering them into the dispensing system.
- Customer Queries
- Handle first-line customer inquiries regarding order receipt, expected delivery times, and other queries.
- Active Pharmacist License
- Pharmacy Operations Experience - 2+ years in pharmacy operations, claims management, or clinical pharmacy.
- Insurance Claims Knowledge - Familiarity with insurance claims, financial aid programs, and medication therapy management.
- Strong Analytical Skills - Exceptional attention to detail and analytical skills.
- MEDICATION PACKAGING SYSTEMS - Experience with packaging systems such as sachets or blister packs.
- Ai Applications In Healthcare - Knowledge of AI applications in healthcare or pharmacy operations.
- Patient Financial Assistance Programs - Background in patient financial assistance programs or insurance processes.
- Remote Work Arrangement - Work schedule: 3:00 PM-12:00 AM (subject to change based on business needs).
We offer a dynamic work environment that fosters growth and development. If you're passionate about healthcare and have a strong background in pharmacy operations, we encourage you to apply.
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