Local Contract On Call - Pharmacy Technician - $30-34 per hour at TalentBurst, Inc

TalentBurst, Inc is seeking a local contract Pharmacy Technician for a local contract job in Philadelphia, Pennsylvania.

• Specialty: Pharmacy Technician
• Discipline: Allied Health Professional
• Start Date: 11/18/2024
• Duration: 12 weeks
• 40 hours per week
• Shift: 9 hours, days, on call
• Employment Type: Local Contract

Required:
CPHT required

Summary:
The Ambulatory Regulatory Technician is responsible for helping to manage the internal and external pharmacy payer audits and requirements in accordance with Federal, State and Internal auditing standards.

The Ambulatory Regulatory Technician will assist in the day-to-day activity of the outpatient pharmacy locations insurance audit requests, as well as proactive audits and regulatory compliance.

The Ambulatory Regulatory Technician services more than 6+ retail pharmacy locations in both Philadelphia and suburban locations.
In addition to data compilation for fax or electronic audit, the auditing technician will support the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements.
The purpose of the Ambulatory Regulatory Technician is to help drive overall fiscal and regulatory performance and manage the daily activities of the insurance payer programs.

Responsibilities
Ensuring timeliness of payer audit completion, ensuring accuracy of information submitted, assessing the risks in the pharmacy audit assignment, perform appropriate audit procedures, draft and communicate audit findings and observations and collaborate with pharmacy management to resolve issues in a timely and efficient manner.
Conducts desktop and onsite audits for the HUP Pharmacies and in accordance with Federal, State, and Internal Audit standards
Proactive claims auditing to ensure the appropriateness and accuracy of submitted pharmacy claims
Handling third-party requests in coordination with the Pharmacy Managers
Auditing delivery processes to ensure medications are delivered and receipts are on record
Within the general guidelines provided by management, will conduct the following tasks: assess the risks in the pharmacy audit assignment, perform appropriate audit procedures, draft and communicate audit findings and observations, and collaborate with pharmacy management to resolve issues in a timely and efficient manner
Assists with ongoing regulatory compliance and accreditation surveys and monitors compliance with billing practices and collection of copays
Leads meetings in conjunction with management and performs quality assurance checks of pharmacy payer documentation to ensure accuracy and completeness.
Completion of payer regulatory requirements
Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
​Other duties as assigned to support the unit, department, entity, and health system organization.

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TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years. As a Joint Commission Certified Agency, our commitment to quality, integrity, and exceptional service has made us a trusted name in the healthcare staffing landscape.

Our mission is to bridge the gap between healthcare professionals seeking fulfilling opportunities and healthcare organizations striving to maintain their high standards of care. We are committed to providing top-notch healthcare professionals with access to facilities where they can focus on delivering exceptional patient care and thrive.

Whether you're a nurse, allied health professional, or administrative personnel, we have the expertise to match your skills and aspirations with the perfect placement.