Phoenix, AZ - Contact Center Support

Prepares medication orders by compounding or admixing medications under supervision of a physician. Checks all orders for completeness of information.
Verifies patient information and proper physician authorization.
Checks all orders for insurance approval before admixing. Under a professional's supervision, admixes drugs as ordered by physician in an accurate and timely manner as per department guidelines, and preparing all drugs within OSHA guidelines and interoffice guidelines.
Calculates correct dosage volumes, converting between metric and apothecary equivalents. Maintains indigent patient drug program as assigned. Counts controlled drugs weekly and maintain records. Maintains current drug information and MSDS sheets.
Properly disposes all materials used when mixing chemo or non-chemo IVs. Cleans hood daily or as stated in policy and procedures.
Logs and dates all drugs that are being used. Checks drugs monthly for outdate and other quality assurance activities as assigned. Keeps accurate temperature logs. Keeps accurate logs on all protocol drugs and patient assistance drugs.
Maintains proper control documentation of medications, including lot numbers. Complete inventory control of medications. Receives and shelves medications.
Assists lead admixture technician in ensuring that standard drug supplies are in adequate supply in all departments.
Prepares labels. Files and prepares billing. Performs efficient data entry into systems used by pharmacy and admixture. Ordering of medication and supplies as directed.
Assist with required cleaning and maintenance of the admix area and the pharmacy department in general to minimize particle counts and improve overall sanitation

We are currently hiring Medical Professionals who have experience working with patients, doctors, pharmacies and insurance companies! Located in a state-of-the-art facility in Scottsdale, you would have full access to the amenities available, including a cafeteria and a full gym!  

Job Description:

• You would be working within a Pharmacy Benefit Management company responsible for processing and paying prescription drug claims.

Must have:

• Extensive experience with prior authorization, insurance verification, reimbursement, benefits, copay, etc. 
• Experience with talking to doctors, patients and insurance companies

Responsibilities include:

• Working on behalf of the patient to obtain or release authorizations
• Obtaining documentation from the provider in order to receive the authorization
• Working with providers and payers to maximize reimbursement

Pay Rate: $16-$20 per hour 

Location: Chaparral Road and the 101

Start Date: ASAP

Directs the performance of multiple laboratories through scheduling, work prioritization and supervision. Oversees all facets of laboratory testing and functions. Acts as working technical supervisor for the laboratory.

Performs routine tests as required and develops knowledge of more complex tests to perform as needed. Evaluates qualifications of potential employees; interviews and hires; monitors and evaluates competency and performance of all personnel on an ongoing basis.

Trains or assigns training of lab personnel. Provides for continuing education program and monitors employee participation.

Establishes and monitors quality assurance, quality control, proficiency testing and routine maintenance policies and procedures. Establishes and monitors policies and procedures for overall testing performance.

Selects, evaluates, develops, and validates all test methods.

Establishes a quality control program appropriate for the testing performed and establishes the parameter for acceptable levels of analytic performance and ensures that these levels are maintained throughout the testing process. Reviews patient test results, quality control, proficiency testing and maintenance records.

Exercises professional judgment while ensuring that patient test results are not reported until all corrective actions have been taken and the test system is properly functioning.

Resolves technical problems and ensures remedial actions are taken whenever test systems deviate from the laboratory’s established performance specifications. Evaluates new equipment and reagents for technical suitability and cost effectiveness.

Performs cost analysis on major equipment purchases. Analyzes true cost of providing individual tests and other laboratory services.

Recommends pricing of tests and other services based on this analysis. Monitors and evaluates laboratory testing reimbursement. Interfaces with laboratory vendors and contractors to develop working relationships and cost effective pricing. Maintains confidentially of all information related to patients and medical staff.

Performs laboratory budgeting and cost analysis. Assists in budgeting, cost analysis, marketing, and managed care contracts for the practice. Demonstrates working knowledge of applicable labor laws. Interfaces with other disciplines (i.e. nursing, clerical) to ensure a smoothly functioning and efficient operation.

Our Scottsdale client is a famous corporation in the health care industry.  

This Pricing Analyst position is client facing with a heavy focuses on RFP analysis, projections, trend & cost analysis, and pricing. The hiring managers have made it clear they are not looking for a current Accountant.  

Be sure your resume shows experience closely related to: 

• Building & designing reports for the clients and business partners 
• Data mining and writing queries,
• Building Models 
• Forecasting
• Trending Analysis
• Modeling Cost
• Market research

Immediate LPN opportunity

Responsible to manage patient follow up and quality calls regarding a high risk prescription drug.

Assist with enrollment and general inquiries. 

Have a passion for assisting patients? Want to put your skills to use for a Top 10 Fortune 500 company? Health care industry leader is searching for Insurance Benefits Representatives in their brand new facility in Tempe!

• Verify and obtain benefit information on behalf of patient for pharmaceutical coverage
• Ensure coverage and reimbursement according to patient's health care plan
• Assist patient with obtaining financial assistance for out of pocket costs if needed

The Case Manager/Prior Authorizations Rep is an integral part of the Patient Services team, responsible for the coordination and delivery of services related to the patient support programs. The role involves interactions with patients, physicians and other health care professionals (HCPs) as well as members of client's team using web-based, telephony and face-to-face means of communication. The role involves understanding and adherence to corporate, divisional, departmental and program-specific standard operating procedures.

Duties:

• Review, analyze and validate information provided by patients and HCPs for accuracy and completeness to ensure initiation of services
• Follow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to HCPs and patients
• Process data entry activities of pertinent information received at different points of contact during the delivery of program services
• Provide answers to general inquiry calls submitted via telephone or web-based platforms on program services, disease state or product-related questions based on information provided as part of the program materials
• Perform surveys on patients and other program users based on documentation provided, and perform data entry activities on information received
• Conduct reimbursement investigations with private and public reimbursement providers
• Participate in reimbursement or other program-related research activities as assigned by the Program Manager and/or Departmental Manager
• Coordinate/facilitate submission of Special Authorization letters to public and private payers
• Conduct reimbursement denial escalations through employers/payers
• Gather information, and conduct patient financial assessment eligibility based on program guidelines
• Request financial transactions to be processed based on communicated program guidelines
• Gather pertinent information, and coordinate patient’s access to services as well as conduct follow-up activities

Do you have recent medical billing and insurance verification experience?

We have an amazing Medical Benefit Insurance Specialist opportunity for you!

Our fortune five healthcare company in Scottsdale is currently hiring at their brand new state of the art facility which features a fitness center, cafeteria, and more.

Responsibilities:

• Verify Insurance coverage
• Determine if insurance plan requires a prior authorization
• Discuss patient information while following HIPAA guidelines
• Manage account with great attention to detail
• Pay rate $19/hr DOE