Senior Medication Verification Specialist
1 day ago
The Virtual Pharmacist is a crucial role that involves verifying the accuracy of medications packed into dose-ready sachets. The pharmacist will use AI-driven tools to cross-check AI-identified medications against prescriptions, ensuring correct dosage and format.
Key Responsibilities:
- Verify medication accuracy using AI-driven tools
- Cross-check AI-identified medications against prescriptions
- Flagging missing or duplicate tablets and debris
- Highlight patients with missing data for redone entries
- Provide feedback on AI performance for improvement
Claims Review & Submission:
- Review insurance/government claims prior to submission for accuracy and compliance
- Verify patient eligibility for financial assistance programs and document submitted
- Check all paperwork for completeness and resolve discrepancies in documentation
- Collaborate with the billing team to streamline claims submission processes
General Duties: Data Integration & Onboarding of New Patients:
- Migrate data from external systems into dispensing systems during new hospital and nursing home onboarding
- Validate and reconcile data for accuracy and completeness
- Collaborate with onboarding teams for seamless integration, including phone communication
General Duties: Processing Monthly Orders:
- Process monthly orders for current clients by reviewing order placement and entering it into the dispensing system
Customer Queries:
- Handle first-line customer queries from nursing homes and hospitals regarding order confirmations and delivery times
Required Skills and Qualifications:
- Active pharmacist license (state or national)
- 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 compliance
- Proficiency with technology, including AI 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 AI applications in healthcare or pharmacy operations
- Background in patient financial assistance programs or insurance processes
Benefits:
- Remote work arrangement
- Flexible work schedule (3:00 PM - 12:00 AM, subject to change)
About the Opportunity:
- Join our team of experts who provide world-class talent to help small and medium-sized enterprises successfully build their offshore teams
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