Medication Reconciliation Technician

About the role

Responsible for securing patient data based upon comprehensive data elements, financial education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third party claims management. Interviews patient for clinical, financial, and history information and arranges appropriate clinical care.

Responsibilities

• Drafts various correspondence letters and sends to referral source when necessary.
• Gathers and documents patient demographics, insurance information, needs assessment, patient history, and other data as needed.
• Initiates refill/follow up calls and schedules delivery as needed.
• Provides information and answers to patient/caregiver questions and refers to clinician when appropriate or requested.
• Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.
• Contacts insurance company or employer to determine eligibility and benefits for requested services.
• Maintains patient records in a timely and complete manner.
• Affords assistance to the pharmacist with the process of filling and labeling the prescriptions.
• Calculates initial measurements for compounds and maintains compounds logs.
• Provides monographs and other required medication guides with each prescription.
• Maintains proper storage of medications (i.e. security, temperature controlled items, etc.).
• Demonstrates the knowledge and skills necessary to communicate to the infant, pediatric, adolescent, adult and/or geriatric patient per the established age-specific education/standard.
• Works with coordinators and manager to develop and attain quarterly objectives.
• Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.
• Communicates problems hindering workflow to management in a timely manner.
• Affords assistance in the training of pharmacy technicians.
• Initiates charge anticipation calculations.
• Accurately identifies anticipated charges to assure identification of anticipated self-pay portions.

Qualifications

• High school diploma or Equivalent.
• Current licensure as required by state board where services will be provided: MD: Pharmacy Technician Student Permit or Pharmacy Technician License through Maryland Board of Pharmacy OH: Pharmacy Technician Trainee License or Certified or Registered Pharmacy Technician License through Ohio Board of Pharmacy PA: Pharmacy Technician Trainee or Pharmacy Technician License through the Pennsylvania Board of Pharmacy WV: Pharmacy Technician Trainee or Pharmacy Technician License through West Virginia Board of Pharmacy.
• Remote Workers Only: Must additionally hold Pharmacy Technician Trainee License or Pharmacy Technician License issued by state of residence.
• Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) OR If applicant has two (2) or more years of pharmacy specific experience, must be obtained within 15 months of hire.