Skilled Care Pharmacy Available Job Openings Listing of all available openings at Skilled Care Pharmacy http://www.skilledcarehiring.com/ en-US Sat, 24 Oct 2020 00:51:11 CST Facility Billing Coordinator - Mason, Ohio http://www.skilledcarehiring.com//jobDesc.asp?JobID=119 Position Description Job Title: Facility Billing Coordinator Department: Billing QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Work Experience Minimum Associate degree in business or health related field 3-5 years direct work experience in business or health related field; pharmacy experience preferred Understanding of Medicare/Medicaid/Insurance pay types, medical terminology, and brand/generic medications required Intermediate working ability with Microsoft Word and Excel, or like applications Other Qualifications Ability to process bills for assigned facilities representing a minimum of 1500 active residents Ability to exhibit strong oral and written customer service skills Ability to multi-task and adhere to timelines ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. I.Pre-billing and Billing (70%) Reviews all reports and information necessary to make required corrections in the pharmacy management system before bills are processed at month end. Processes any additional fees as required by contract Prints and review pre-billing report at end of 2nd and 3rd weeks of the month and in billing month end process Updates insurance information as required and rebill charges as necessary in a timely manner prior to month end billing. Updates facility census daily or as received. Contacts facility to request daily census if census is not being received daily. Reviews facility and private pay statements for accuracy, correcting and re-running as necessary, then sends them out in a timely manner Resolves questions and/or concerns from facilities, guarantors, power of attorneys and private pay residents regarding monthly statements and makes corrections or adjustments as needed. These adjustments include things like statement disputes, short pays and similar items. Retrieves documents from billing queue for assigned facilities Prepares all electronic billing to facilities if necessary. Closes and posts monthly billing within required timeframe. This shall include balancing information between the Framework and AccPac sides of the total Framework system. Update Medicaid pending residents weekly Update assigned facilities price tables and miscellaneous fees as required when notified in writing by management. Resolves month end rejections caused by re-billings. Perform weekly re-pricing function when necessary. Complete required composite billing prior to month end statements. If and when necessary, process hard copy claims. When required, monitor the spend -down on qualified medical beneficiaries (QMB's) for Medicaid coverage purposes. II. Customer Relations (25%) Acknowledges and responds to emails and phone calls received by 4 pm of the current business day before leaving shift. Final resolution of issues within 48 hours of receiving email or phone call Makes calls on short payments to resolve billing issues; rebill charges as necessary Working knowledge of assigned facilities contracts and the ability to set up pricing tables as required by contract Provide customer price quotes when requested III.General Office (5%) Assists in completing annual Part D enrollment process Updates resident addresses on returned mail for assigned facilitiess Filing Attends training as provided in order to improve self and quality of work Accepts other duties as assigned PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Tue, 10 Feb 2015 11:36:17 CST Mason, OH 119 Pharmacy Technician - Fishers, Indiana http://www.skilledcarehiring.com//jobDesc.asp?JobID=141 Position Description Job Title: Pharmacy Technician Department: Pharmacy Reports To: Pharmacy Operations Quality Assurance Senior Manager Summary: The Pharmacy Technician is responsible for the day-to-day tasks necessary to ensure accurate and timely delivery of medications to the end-user in long-term care, hospice, and home care settings. Qualifications: Success is based on the performance of the essential duties and responsibilities. Candidates shall also possess the following educational and/or work experience. Education/Work Experience: • High school graduate or equivalent preferred. • Prior pharmacy experience and National Pharmacy Technician Certification are desirable. • Candidates whom are already employed by Skilled Care Pharmacy will be considered for this position based on performance of their current assignment. Other Qualifications: • Good manual dexterity with the ability to measure minute quantities of liquids using syringes. • Good organizational and time-management skills • Ability to fill orders within an established time frame • Ability to work with others • Ability to examine, reexamine and verify accuracy of medications against printed prescription label • Ability to interpret and understand medication directions to ensure filling accuracy • Ability to distinguish medication types (i.e. liquids, creams, ointments, otics, controlled substances, etc.) • Knowledge of basic drug terminology, pharmaceutical calculations, drug use and aseptic technique • Basic knowledge of computers including word processing and data entry ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. I. FILLING PRESCRIPTIONS (50%) • Dispense medications while observing proper handling precautions • Dispense medications in proper container based on facility expectations • Verify that all medications reflected on the delivery receipt accompany the order to the delivery department • Fill prescription's within established time frame • Prepare compounding medications with use of pharmacy scales, compound pads, jars, etc. • Complete compounding records by filling out lot numbers and expiration dates • Generate labels and/or delivery receipts • Count and sort prescriptions for those facilities participating in the anniversary program • Prepare appropriate logs for tracking monthly accuracy • Prioritize and manage time appropriately II. TEAM DUTIES/CROSS TRAINING (15%) • Assist any other pharmacy team in completing end of day • Monitor day-to-day activity in whole of pharmacy to ensure a proper departure time • Participate in education on other areas (i.e. IV's, credits/returns, etc.) • Other duties as assigned III. INVENTORY (10%) • Daily review of medication and supply stock with responsibility to reorder through the purchasing department • Periodic review of medication bins to assure that correct medication is in correct bin • Monthly review of all medications for expiration dating. Fast moving items should be reviewed on a daily basis • Examination of medications and supplies returned for credit to assure expiration dating and lack of tampering • Mandatory quarterly physical inventory IV. STATION SET-UP (10%) • Stock filling stations with the necessary supplies (boxes, vials, forms, baggies, reorder slips, etc.) V. CLEANING (5%) • Clean and maintain area on a daily basis. This includes using alcohol on surface areas • Take out trash and/or cardboard • Sweep area as needed VI. EUCLID PACKING MACHINE (5%) • Ensure equipment is cleaned and maintained according to proper policy and procedures • Package bulk medications into unit dose for dispensing • Keeping track and pulling those items needing to be packed (on a priority type basis) • Ability to distinguish units of measure (ex. IU, mg, meq, etc.) • Ability to distinguish lot numbers and expiration dates on medications VII. COMMITTEES (5%) • Participate in departmental quality assurance activities as requested • Attend designated departmental meetings as scheduled PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and use hands to finger, handle, or feel. The employee frequently is required to walk. The employee is occasionally required to reach with hands and arms; stoop, kneel, crouch, or crawl; talk or hear; and taste or smell. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and extreme heat. The noise level in the work environment is usually moderate. Tue, 19 May 2015 12:46:11 CST Indianapolis, IN 141 Billing Coordinator - Fishers, Indiana http://www.skilledcarehiring.com//jobDesc.asp?JobID=142 Position Description Job Title: Billing Coordinator QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Work Experience Associate degree in health related field or 2-4 years direct work experience in health related field Understanding of Medicare/Medicaid/Insurance pay types, medical terminology, and brand/generic medications required Working knowledge of Microsoft Word and Excel, or like applications Ability to perform all processes as it relates to a specific account Other Qualifications Basic computer skills, including data entry Ability to exhibit effective verbal and written communication skills Ability to understand and exhibit a willingness to perform new job processes Attributes and Attitude Characteristics Maintains high level of attendance and punctuality Communicates in a positive and respectful manner with customers and internal team members Exhibits a 'team work' attitude Supports Skilled Care's mission and high standard of customer service ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. I. Pre-billing and Billing (70%) Processes and reviews unbilled charge reports, making corrections as needed before bills are processed at month end Processes any additional fees as needed for consulting, computer lease, OTC tax, etc. Runs a skilled and pending list at month end, and in turn calls facilities for pay types changes Enters correct pay type changes, adding guarantors' if applicable, and rebilling to correct date of change as needed Meets individual facility billing needs as requested by the facility which are not normal billing procedures, i.e. verifying prior-authorized OTC's, keying resident accounts, gloves, etc. Reviews facility statements for accuracy, correcting and re-running as necessary, then sends them out in a timely manner Reviews private pay statements for assigned facilities, giving past dues to collections, credit balances to supervisor or manager for investigation, and mailing out the remainder in a timely manner Resolves questions and/or concerns from facilities regarding monthly statements, making corrections or adjustments as needed Prepare price quotes as requested Prepare all electronic billing to facilities as requested II. Processing Pharmaceutical Charges (10%) E-Box Stock narcotics/pharmacy Pharmacy charges (back up pharmacies) Pharmaceuticals from Cubex III. Collections and Customer Relations (10%) Maintains assigned facilities accounts receivable aging, investigating and resolving non-payment issues Visits assigned facilities as requested to review statements and maintain good customer relations Filing IV. Special Pricing of Resident Accounts (5%) Review all requests of special price matching Set up residents accounts appropriately Monitor and review each account prior to month end review Correspond special pricing changes to residents as required V. General Office (5%) Filing Attends training as provided in order to improve self and quality of work Accepts other duties as assigned PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Wed, 6 Jan 2016 11:05:51 CST Indianapolis, IN 142 Order Entry Pharmacy Technician- Fishers, Indiana http://www.skilledcarehiring.com//jobDesc.asp?JobID=144 Position Description Position Title: Order Entry Pharmacy Technician Department: Order Entry Reports to: Administrative Operations Manager Summary: This position will be responsible for the coordination and management of new and refill prescription information as well as the order entry into Rescot upon receipt from the facility. Educational/Work Experience Associate degree in health related field or 1-2 years direct work experience in health related field Understanding of Medicare/Medicaid/Insurance Pay types, medical terminology, and brand/generic medications required Working knowledge of Microsoft Word and Excel, or like applications Other Qualifications Demonstrate superior customer service skills Ability to interact with all levels of department representatives both internally and externally Ability to exhibit effective verbal and written communication skills Attributes and Attitude Characteristics Maintains high level of attendance and punctuality Communicates in a positive and respectful manner with customers and internal team members Generates and supports ideas to improve service to internal and external customers Resolves conflict in a positive manner Essential Duties and Responsibilities include the following. Other duties may be assigned. Prescription processing (80%) Data Entry of new and refill orders which includes: Ability to interpret and understand prescription directions, including the clarification and communication to the facility when necessary Identifies orders that can not be processed due to coverage issues, missing information, or inability to read/understand Input of medication orders with correct medication and frequency. Minimum requirement is 30 orders per hour. Ensures formulary substitutions are made appropriately based on facility contracts Completes appropriate paperwork/forms, as well as communicating order exceptions and any other discrepancies to facilities and team leaders Transmit all third party and Medicaid online claims at time of order entry to ensure payment as well as dispensing fee. Understanding of the special requirements for each payer including Medicare/Managed Care/Medicaid Formulary and Non-Formulary/Third Party Insurance as well as communicate discrepancies to facilities regarding: Formularies Rejections Contract requirements Exclusions and Non-covered medications Ability to adhere to special Facility processing requirements (i.e. House Stock, Non-covered Medication Policies) Ability to research, communicate, and follow-up with facility regarding any processing and reimbursement issues with order Admission/Readmission of residents to Pharmacy System (15%) Process new admission/readmission information for residents being serviced by Skilled Care which includes: Reviews admissions and enters correct admission pay type information into Rescot, calling facility when pay type information not available Collects information from facilities regarding resident insurance cards, social security number, guarantor demographics, room number, wing, allergies, diagnosis, verifies patient medication needs, etc. Verifies Insurance/Medicaid eligibility Identifies orders that can not be processed due to coverage issues, missing information, or inability to read/understand Communicates with facility and Third party providers to get necessary coverage, missing information etc. to correct order to be processed Input of medication orders with correct medication and frequency Ensures formulary substitutions are made appropriately based on facility and third party provider contracts Completes appropriate paperwork/forms, as well as communicating order exceptions and any other discrepancies to facilities, third party providers, and team leaders Transmit all third party and Medicaid online claims at time of order entry to ensure payment as well as dispensing fee. Documents all admits/readmits processed on the admission log III. General Office (5%) Exhibits a 'team work' attitude Attends training as provided for self-improvement and quality of work Accepts other duties as assigned Supports Skilled Care's Mission and high standard of customer care PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to handle, or feel and reach with hands and arms. The employee frequently is required to sit and talk or hear. The employee is occasionally required to stand; walk; climb or balance; and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts, fumes or airborne particles, and risk of electrical shock. The noise level in the work environment is usually moderate. Thu, 11 Feb 2016 16:37:18 CST Indianapolis, IN 144 Pharmacy Technician- Admissions/Rejections (Mason, Ohio) http://www.skilledcarehiring.com//jobDesc.asp?JobID=171 Admissions Process new/ readmission information for residents Obtains complete resident face sheet from facility and enters all data. Prevents duplication of account by conducting Universal Search for patient in Pharmacy System Enter per diem date if required. Obtains and inputs correct admissions history and appropriate transfers/ discharges information Shared responsibility with the billing department in resolving Mason returned mail Researches and responds to email tree on any problem admissions Checks under 'payment plans' (Frameworks 'E1') to see if patient has Part D insurance Obtains, verifies and enters appropriate pay source information by next business day Enters Hospice formulary, if provided upon admission, as well as listing diagnosis Adds physicians to Pharmacy Information System Responsible for adding patient face sheet information for a facility start-up Responsible for placing expired patients on 'bed hold' when notified by facility on telephone order Third Party Submission/Rejections Process all insurance claims at time of order entry Processes all Mason online billing rejections daily; resolves all rejections within 48 hours. When applicable, completes and distributes prior authorizations according to facility contract Acquires and maintains appropriate logs of prior authorizations for follow up Investigates and resolves insurance inquires Communicates to pharmacists any suggested covered alternative recommended by 3rd party payor. Resolves cycle fill rejections Customer Relations Acknowledges and responds to all daily emails and phone calls received prior to one hour of the end of employee's shift on same business day. Other Duties Acts as back up for Triage Department as needed Attends training as provided for self-improvement and quality of work Accepts other duties as assigned Fri, 5 Apr 2019 15:45:10 CST Mason, OH 171 Registered Pharmacy Tech-Evening Shift (Mason, OH) http://www.skilledcarehiring.com//jobDesc.asp?JobID=177 Summary: The Pharmacy Technician is responsible for the day-to-day tasks necessary to ensure accurate and timely delivery of medications to the end-user in long-term care, hospice, and home care settings. Qualifications: Success is based on the performance of the essential duties and responsibilities. Candidates shall also possess the following educational and/or work experience. Education/Work Experience: High school graduate or equivalent preferred. Prior pharmacy experience desirable. Candidates whom are already employed by Skilled Care Pharmacy will be considered for this position based on performance of their current assignment. Other Qualifications: State of Ohio Pharmacy Technician Registration Good manual dexterity with the ability to measure minute quantities of liquids using syringes. Good organizational and time-management skills Ability to fill orders within an established time frame Ability to work with others Ability to examine, reexamine and verify accuracy of medications against printed prescription label Ability to interpret and understand medication directions to ensure filling accuracy Ability to distinguish medication types (i.e. liquids, creams, ointments, otics, controlled substances, etc.) Knowledge of basic drug terminology, pharmaceutical calculations, drug use and aseptic technique Basic knowledge of computers including word processing and data entry Dependable in attendance Ability to communicate clearly and concisely, both verbally and in writing ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. I. FILLING PRESCRIPTIONS (50%) Dispense medications while observing proper handling precautions Dispense medications in proper container based on facility expectations Verify that all medications reflected on the delivery receipt accompany the order to the delivery department Fill prescription's within established time frame Prepare compounding medications with use of pharmacy scales, compound pads, jars, etc. Complete compounding records by filling out lot numbers and expiration dates Verify that proper handling precautions are noted on delivery receipt Generate labels and/or delivery receipts Count and sort prescriptions for those facilities participating in the anniversary program Prepare appropriate logs for tracking monthly accuracy Prioritize and manage time appropriately II. TEAM DUTIES/CROSS TRAINING (15%) Assist any other pharmacy team in completing end of day Monitor day-to-day activity in whole of pharmacy to ensure a proper departure time Participate in education on other areas (i.e. IV's, automed, credits/returns, etc.) Go to facility to deliver and set up medication carts for anniversary program Periodic 'out' days with consultant to understand business of long term care pharmacy Other duties as assigned III. INVENTORY (10%) Daily review of medication and supply stock with responsibility to reorder through the purchasing department Periodic review of medication bins to assure that correct medication is in correct bin Monthly review of all medications for expiration dating. Fast moving items should be reviewed on a daily basis Examination of medications and supplies returned for credit to assure expiration dating and lack of tampering IV. STATION SET-UP (10%) Stock filling stations with the necessary supplies (boxes, vials, forms, baggies, reorder slips, etc.) Stock all fast moving items as per minimum/maximum requirements V. CLEANING (5%) Clean and maintain area on a daily basis. This includes using alcohol on surface areas Take out trash and/or cardboard Sweep area on a weekly basis VI. EUCLID PACKING MACHINE (5%) Ensure equipment is cleaned and maintained according to proper policy and procedures Package bulk medications into unit dose for dispensing Keeping track and pulling those items needing to be packed (on a priority type basis) Ability to distinguish units of measure (ex. IU, mg, meq, etc.) Ability to distinguish lot numbers and expiration dates on medications VII. COMMITTEES (5%) Participate in departmental quality assurance activities as requested Attend designated departmental meetings as scheduled Active involvement with at least one committee in order to improve company performance or assist company in giving back to the community Thu, 16 Jan 2020 15:26:27 CST Mason, OH 177