Oncology Technologist (Medical Assistant), Manila in Manila, National Capital Region

Successfull candidates should be able to do some or all of the following Accept new prescriptions from members, inquire about medication allergies and obtain address from patient. Gather other information, as necessary, such as member number, birth date, and phone number, if not already included. Make sure name and medical record numbers are accurate and legible. Inform Pharmacist immediately of any interactions flagged by the computer system for Pharmacist intervention. Updates patient records regarding medication allergies and disease states. Accurately enter new prescriptions in accordance to applicable formulary, special approval or prior authorization, ensuring all necessary information is complete and in conjunction with coverage limitations and eligibility, as indicated by the computer system. Receive member refill request by telephone, automated refill line, recorded message, or by patient at the pharmacy window. Enter refill request into the computer system in order for the computer to generate prescription labels. Route computer generated action request to provider if no refills are authorized. Contact physicians office if approval is required for refills outside of the HPMGC system. Adjudicates prescription claims for payment in accordance with Plan provisions, policies and procedures. Researches and makes necessary changes to rejected claims, which could include the need to determine benefit coverage through interpretation of Plan provisions. Receive action request or telephone refill approvals from physicians. Enter information into the computer, including authorizing physician, number of refills authorized, or refusal of refill. Attach documentation to allow physicians to meet Drug Utilization Reports initiatives or to notify them of the need of prior approval from pharmacy administration before filling prescription.
Location
Manila
Salary
₱15,000
Company
Spring Leaf Company
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