Posted in Other 9 days ago.
Site: Mass General Brigham Incorporated
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.
Job Summary
Responsibilities:
- Work with physicians, nurses and pharmacists to ensure that each patient receives the medications he/she needs at the appropriate time
-Review medication regime with patient to determine which medications need to be dispensed
-Process medication orders confirming that they are billed to all third parties correctly
-Monitor patient concerns, charts and profiles to meet their medication therapy needs
Support MGBSP Patient Needs:
-Answer patient questions about the service, insurance issues, financial assistance needs, etc
-Ensure all questions are answered timely and accurately
-Ensure clinical questions are appropriately escalated to a pharmacist
-Ensure employee back-up coverage is trained and knowledgeable
-Report any Patient Safety Events according to MGB SP guidelines
Commit to Building Relationships:
-Quickly forge and sustain (or develop and maintain) strong relationships with pharmacists, co- workers, prescribers, nurses and patients to build/support the services we provide
-Provide caring service, adjusting approaches to reflect developmental level and cultural differences of population served
-Improve processes to facilitate communication and service between patient, and clinic, infusion center and discharge pharmacy teams to ensure accurate and timely delivery of medications
-Participates in MGB SP Clinical Subcommittees
Act as the insurance specialist:
-Understand Medicare/Medicaid regulations and billing guidelines as they pertain to patient pharmacy benefits
-Understand billing primary, secondary and tertiary insurance claims
-Resolve any billing issues and obtain Prior Authorizations for medications.
-Obtain benefit information and verify patient insurance eligibility and level of coverage
-Cross train within PCC roles as directed to support emergent and ongoing business needs.
Demonstrates Commitment to Customers:
-Seeks to understand and value differences between employees
-Treats other employees with dignity and respect
-Demonstrates open, honest communication and behavior
-Resolves conflict in a positive manner
-Contributes to the productivity of the workgroup
-Chooses to make Health System a better place
Qualifications
Qualifications:
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