AlliedTravelCareers is working with Cynet Health to find a qualified Pharmacy Tech in Philadelphia, Pennsylvania, 19104!
About The Position
Job Title : Ambulatory Regulatory Technician Job Specialty : Pharmacy Technician Job Duration : 13 weeks Shift : 8 : 00 AM - 5 : 00 PM Guaranteed Hours : 40 hours per week Experience : Not specified License : Not specified Certifications : CPHT Required Must-Have : Local Candidates Only Job Description : - Responsible for managing internal and external pharmacy payer audits and requirements in accordance with Federal, State, and Internal auditing standards.
- Assist in day-to-day activities of outpatient pharmacy locations' insurance audit requests and regulatory compliance.- Service more than six retail pharmacy locations within specified areas.
- Compile data for fax or electronic audits and support managers during in-person audits.- Proactively audit claims for accuracy and support regulatory requirements.
- Ensure timeliness and accuracy of payer audit completion and submitted information.- Assess risks in pharmacy audit assignments and perform appropriate audit procedures.
- Draft and communicate audit findings and observations.- Collaborate with pharmacy management to resolve issues efficiently.
- Conduct desktop and onsite audits in compliance with Federal, State, and Internal Audit standards.- Perform proactive claims auditing for accuracy and appropriateness.
- Handle third-party requests in coordination with Pharmacy Managers.- Audit delivery processes to ensure medication delivery and proper receipt records.
- Assist with ongoing regulatory compliance, accreditation surveys, and monitor compliance with billing practices.- Lead meetings in conjunction with management and perform quality assurance on pharmacy payer documentation.
- Ensure completion of payer regulatory requirements.- Adhere to company values, policies, and procedures.- Perform other duties as assigned to support the unit, department, and organization.
9355825EXPPLAT
Job Requirements
Required for Onboarding
- BLS - AHA
- Core Competency
- Pharmacology
- Skills Checklist
- Specialty Exam
About Cynet Health
Your travel adventure begins here. Matching talented healthcare heroes like you with high-paying jobs at the best facilities across all 50 states.
We offer the most competitive pay for every position we fill. We understand this is a partnership. You will have no surprises.
Your salary will be discussed upfront and there will be no troubling negotiation tactics.