Pharmacy Resource Specialist

Company: MD Anderson
Location: Houston
Posted on: September 24, 2022

Job Description:

The Division of Pharmacy at MD Anderson Cancer Center strives to be the industry leader in providing premier patient-centered care, based on excellence and innovation in patient care, services, research and education. We strive to ensure safe, effective and cost-conscious medication use and to work with our health care colleagues to promote optimal drug therapy outcomes through the development of integrated, quality programs.

Key Functions:

* Manages patient pharmacy needs through direct patient contact and communication with patient's primary payer source. Obtains prior authorizations/rejection overrides for drug therapy. Locates, screens, and assists patients with Patient Assistance Program (PAP) enrollments. Assists and responds to prescription test claims requests timely. Ensures Medicare Part B drug is being billed correctly and documentation is captured, scanned, and audit ready. Assists patients with Medicare Low Income Subsidy (LIS) enrollment and Medicare Part D enrollment. Researches copay cards/vouchers/copay foundation assistance for patients unable to afford their medications. Works with PBS to validate discounts for self-pay patients. Meets productivity guidelines (rejections, test claims, PAP enrollments) while providing complete and accurate information. Documents all work activities in all pharmacy and institutional systems timely and thoroughly.
* Manages and coordinates financial issues for pharmacy cashier services including but not limited to daily deposits, refunds, inhouse charges review, and Point of Sale issues.
* Acknowledges/replies/responds to emails and phone calls timely with thorough/detailed/accurate information. Completes education classes by deadline as required by management / institution
* Other duties as assigned

Education: Bachelor of Business Administration or related degree.

Experience: Three years of pharmacy reimbursement, case management, managed care or insurance industry experience as well as knowledge of information retrieval, computer database, and/or spreadsheet management. May substitute required education degree with additional years of equivalent experience in a one to one basis.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law.

http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

* Requisition ID: 152941
* Employment Status: Full-Time
* Employee Status: Regular
* FLSA: exempt and eligible for additional compensation for hours worked beyond your usual schedule, paid at a straight rate
* Work Week: Day/Evening
* Fund Type: Hard
* Work Location: Onsite
* Pivotal Position: No
* Minimum Salary: US Dollar (USD) 53,000
* Midpoint Salary: US Dollar (USD) 66,000
* Maximum Salary : US Dollar (USD) 79,000
* Science Jobs: No

Keywords: MD Anderson, Houston , Pharmacy Resource Specialist, Healthcare , Houston, Texas