Pharmacy Clerk Job at Kern Valley Health District
Kern Valley Health District Lake Isabella, CA 93240
Position Details
Responsible for processing prescriptions, insurance billing, record keeping, resolving insurance related issues, participation in SNF prescription billing, and assisting PIC in various areas including pharmacy operation. In addition, duties include floating to the hospital pharmacy to perform assigned duties. Understanding of prescription programs of HMOs, PPOs, private insurance companies, Medicare and Medicaid, etc.
Processes new and refill prescriptions from the QS1 queues and for call in and drop off prescriptions. Processes refill requests. Contacts providers for refill requests. Facilitates prescription transfers for pharmacists. Investigates and resolves insurance claims for patients. Resolves any rejections and denials and follows up as necessary. Submits Prior authorizations. Updates patient’s profiles and Insurances. Assists with correct billing of 340B prescriptions. Answers incoming calls and redirects them as necessary. Assists and maintains inventory. Assists PIC with ancillary duties and projects and (where the law permits) with skilled nursing (SNF) duties. Assists with proper filing and record keeping for invoices, prescriptions, audits, contracts and SNF records. Provides back-up for front clerk including opening and closing register and related duties during front clerk’s absence. Cleans and maintains the work area as needed. Performs other duties as assigned by the PIC or pharmacist on duty.
High School graduate, minimum of two (2) year experience with working in a pharmacy and billing health insurances. Ability to effectively communicate in English, both verbally and in writing. Basic computer knowledge, data entry skills.
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