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GTM - Business Office Support - 1788-0145

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Position Description

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GENERAL PURPOSE OF THE JOB:

This position facilitates the prior authorization or therapeutic interchange process by coordinating with physicians, facility teammates and pharmacists to ensure that forms are completed and received before prescriptions are filled and that all applicable laws, regulations and company policies related to prescription fulfillment are met.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.

                         

  • Contact insurance companies as required to obtain insurance company preference between Therapeutic Interchange or Prior Authorization; which will be best and most cost efficient for the patient
  • Research and resolve prescription adjudication rejections to ensure patients receive medications within established patient service standards
  • Prioritize orders in rejection queues; work each order timely and accurately to ensure patient service standards are met
  • Contact patients as necessary regarding delays in receiving medication(s)
  • Document all actions taken on each order in Note-card system to ensure all DaVita Rx teammates know the current status of each order
  • Comply with all data entry processing and procedures related to internal systems, databases and applications
  • Answer calls received in the insurance phone queues professionally and within established standards
  • Maintain accurate and current information as required in DaVita Rx spreadsheets for tracking and quality assurance purposes
  • Work proactively and positively with DaVita Rx teammates to ensure all orders are received and processed timely and accurately each day
  • Maintain strict confidentiality of patient information in accordance with HIPAA and company policies
  • Other duties as assigned including but not limited to:

·         Work overtime with little or no notice as needed

·         Attend staff meetings, teleconferences and patient care conferences as needed

·         Know, understand, and follow DaVita Rx teammate policies and procedures

·         Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

-      Wear DaVita Rx badge at all times

 
Here is what you can expect when you join our Village: 
  • A "community first, company second" culture based on Core Values that really matter.
  • Clinical outcomes consistently ranked above the national average.
  • Award-winning education and training across multiple career paths to help you reach your potential.
  • Performance-based rewards based on stellar individual and team contributions.
  • A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
  • Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation.    

Qualifications

MINIMUM QUALIFICATIONS:

(Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required):

                         

  • High school diploma or equivalent required
  • Certified Pharmacy Technician/Certified Pharmacy Technician in Training preferred
  • Minimum of 1 year's experience as a Pharmacy Technician with experience in PBM, Mail Order or Specialty Pharmacy preferred
  • Prior experience using RxExpress strongly preferred
  • Demonstrated knowledge of Medicare Part D, Medicaid and commercial payers
  • Intermediate computer skills and proficiency in Microsoft Office suite including Word, Excel, Outlook required
 
 
 
Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."
 
Why wait? Explore a career with DaVita today.
 
Go to http://careers.davita.com to learn more or apply. 
  
To learn more about our Village and the world of dialysis, click here.

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The DaVita Village is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status.
 
We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

Position Summary

  • Job Title: GTM - Business Office Support - 1788-0145
  • Job Function: Other - Corporate Office
  • Location: Coppell, Texas