Senior Medication Verification Specialist

1 day ago


Pasay, National Capital Region, Philippines beBeePharmacist Full time ₱600,000 - ₱800,000
Job Description

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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