Symbria

Pharmacist

• Communicate with communities regarding expensive, non-formulary, and incomplete medication orders
• Educate communities on less expensive medication alternatives identified by staff pharmacists
• Keep detailed records of orders requiring community communication
• Follow up with communities when medications have not been changed or clarified
• Communicate professionally with community management staff by phone or email
• Assist with order data entry and answer data entry department phone calls
• Review Medicare D rejections and prior authorizations
• Coordinate with pharmacists or physicians to adjudicate claims
• Prepare for formulary changes with designated operations staff
• Perform insurance and billing clerical duties
• Review and maintain patient account information
• Prepare and submit electronic or paper claims to third parties
• Identify and resolve claim denials
• Act as liaison between patients and third parties
• Collaborate with team members and supervisors to share best practices
• Provide backup support to other pharmacy departments as needed
• Perform other assigned duties

Explore LTC Pharmacy Adjudication Technician at Symbria. Review requirements and application details.

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LTC Pharmacy Adjudication Technician