Clinical Intervention Center Technician
Omnicare - Cincinnati, OH

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Full Time and Part Time Opportunity Available!

SUMMARY DESCRIPTION: CIC support staff responsible for identifying and/or initiating one of two primary activities in the CIC: Patient Specific Therapeutic Interchange (PSTI) or rejected clinical claims management

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Patient Specific Therapeutic Interchange (PSTI)
  • Generate PSTI orders, checking for coverage and compliance with Omnicare directives
  • Scan and send new or authorized orders to the appropriate Omnicare pharmacy, according to Policy and Procedure
  • Process all PSTI responses
  • Routinely resend PSTI requests without a response according to Policy and Procedure
  • Scan and electronically store all approved PSTI orders
  • Must possess excellent communication skills
  • Cross train for coverage of other positions in the CIC
  • Follow all applicable government regulations including HIPAA.
  • Display behavior which exemplifies employee code of conduct guidelines.
Other duties as assigned; Job duties may vary by location.
Prospective Intervention on Rejected Clinical Claims:
  • Monitor CIC and operations queues for rejected claims requiring intervention
  • Make appropriate interventions to obtain new order or Prior Authorization (PA) as directed by a CIC pharmacist
  • Reconcile responses in CIC queue
  • Scan and send new or authorized orders to the appropriate destination
  • Track all claim detail, activity, and outcome, as directed
  • Review relevant CIC reports and handle accordingly
  • Must possess excellent communication skills
  • Cross train for coverage of other positions in the CIC
  • Follow all applicable government regulations including HIPAA.
  • Display behavior which exemplifies employee code of conduct guidelines.
Other duties as assigned; Job duties may vary by location.
Retrospective Intervention on Rejected Clinical Claims:
  • Utilize reject report assigned to the CIC to prioritize and work previous month clinical rejects
  • Make appropriate interventions to collect on claim or to obtain a PA, according to the direction provided
  • Reconcile responses completely, i.e. resubmit, rebill, etc
  • Track all claim activity and outcome, as directed
  • Must possess excellent communication skills
  • Cross train for coverage of other positions in the CIC
  • Follow all applicable government regulations including HIPAA.
  • Display behavior which exemplifies employee code of conduct guidelines.
Other duties as assigned; Job duties may vary by location.
Requirements
EDUCATION AND QUALIFICATIONS:
• Pharmacy technician certification desirable, but not required
• Must possess excellent communication and interpersonal skills.
• Must be flexible with regards to work schedule.
• Long term care or other medical environment preferred, but not required
Omnicare offers a competitive benefits package for full time employees which includes medical with prescription drug plan, dental, vision, life, vacation, sick, 401k, etc.
The shift of this open position is rotating – as early as 8am and as late as 9:30pm.
Omnicare is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, and veteran status or any other status protected by federal, state or local law. Omnicare is an Equal Employment Opportunity and Affirmative Action Employer.

Omnicare, Inc - 16 months ago - save job - block
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Omnicare strives to be omnipresent in US nursing homes. The firm is the country's largest institutional pharmacy services provider,...