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Pharmacy Benefits Specialist

Carolina AsthmaShelby, NC

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Overview

Schedule
Full-time
Career level
Senior-level
Remote
On-site
Benefits
Health Insurance

Job Description

General Summary: A nonexempt position responsible to coordinate the activity of pharmaceuticals, such as Xolair, for the practice. These responsibilities will include: Appointment scheduling; Obtaining prior authorizations; Ordering; Inventory tracking & reconciliation; Collecting patient-due amounts; and other needed tasks

Essential Job Responsibilities:

  • Determine if the pharmaceutical should be handled as Buy & Bill or Specialty Pharmacy
  • Obtain pre-authorization for drug purchase
  • Order pharmaceutical from the drug company
  • Assist patient with copay assistance
  • Provide estimates to patients on their financial responsibility
  • Checks and balances to verify that we are ordering and billing correctly
  • At the end of each day run scheduling and charge reports to ensure that Buy & Bill and Specialty Pharmacy injections have been billed appropriately
  • Collect patient-due amounts
  • Accounts Receivables - follow up, denials monitoring and appeals
  • Monitor and track drug inventory per location
  • Other tasks as requested by supervisor

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FAQs About Pharmacy Benefits Specialist Jobs at Carolina Asthma

What is the work location for this position at Carolina Asthma?
This job at Carolina Asthma is located in Shelby, NC, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Carolina Asthma?
Employer has not shared pay details for this role.
What employment applies to this position at Carolina Asthma?
Carolina Asthma lists this role as a Full-time position.
What experience level is required for this role at Carolina Asthma?
Carolina Asthma is looking for a candidate with "Senior-level" experience level.
What benefits are offered by Carolina Asthma for this role?
Carolina Asthma offers Health Insurance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Carolina Asthma?
You can apply for this role at Carolina Asthma either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.