Insurance Utilization Reviewer Jobs in Raleigh, NC

PHARMACY INTERN JOB DESCRITION
Responsible for providing customer service and assisting thePharmacists in dispensing prescriptions, entering information into computer,ordering and receiving product, checking in orders, stocking, record keeping,answering telephone calls, administer immunizations, and maintaining theoverall conditions of the Pharmacy Department as defined in the PharmacyStandards Manual.
ESSENTIAL JOB FUNCTIONS
1. Comply with all State and Federal regulations, which requirethat all dispensing activities occur under the direct supervision of a licensedpharmacist.
2. Greet customers and receive prescriptions (if an existingpatient, request birth date). Obtain new patient information by requesting apatient/representative fill out a patient history form, including address, VICnumber, phone number, birth date, drug allergies, disease states, and whetherthe patient wishes to receive medications in non-childproof containers.
3. Provide the Harris Teeter "Notice of PrivacyPractices" and acknowledgement form to each new patient/representative.Monitor patient signing for HIPAA at register on signature pad.
4. Determine whether the patient wishes to receive medicationcounseling from the Pharmacist. An Intern may provide medication counseling atthe discretion and under the direct supervision of a pharmacist.
5. Obtain all information necessary to dispense and bill ThirdParty prescriptions, such as Cardholder and Dependent Identification numbers,person codes, Insurance Carrier or Pharmacy Benefit Manager, and expirationdates (if applicable), and patient signatures.
6. Assist in entering patient, drug and prescription data intothe computer. Match patient and birth date. Scan drug barcodes or enter NDCnumber into the computer system. Notify the pharmacist in the event of earlyfills or drug utilization review (DUR) messages. Ensure DAW
codes are entered correctly.
7. Assist in obtaining and returning medications to and fromthe pharmacy shelves.
8. Assist in counting, pouring, measuring, compounding and packagingof medication for dispensing to the patient.
9. Assist in answering the telephone according to Harris Teeterpolicy (Harris Teeter Pharmacy, this is ____________, may I help you?) AnIntern may receive original telephone prescription orders at the discretion andunder the supervision of a pharmacist.
10. Assist in calling or faxing refill authorizations toprescribers' offices. An Intern may receive telephone refill authorizationsfrom the prescriber or designee.
11. Assist in bagging of prescriptions and handling customertransactions, including cash register operation.
12. Assist in ordering receiving, verifying, pricing, andstocking of pharmaceuticals and other products. This function may requirelifting up to 40 lbs., and reaching heights from 6 inches to 72 inches.
13. If the hours worked by the Intern are to apply towardsrequirements for licensure, the Intern will provide all relevant paperwork tothe supervising pharmacist. The Intern will work cooperatively with thesupervising Pharmacist in the development and meeting of expectations to befulfilled.
14. Recommend and administer immunizations according to saidState(s) Board of Pharmacy rules and regulations.
15. Immunizations will be administered under the directsupervision of the supervising Pharmacist.
ADDITIONAL JOB FUNCTIONS:
1. Assist in maintaining a clean, neat department includingwork counter, shelves, floors, windows, and customer service area to present aprofessional, sanitary and organized image to customers.
2. Assist in ordering, stocking and retrieving prescriptioncontainers and other supplies as required by the pharmacy including orderingand stocking the Pharmacy Over-The-Counter (OTC) section.
3. Assist in filing of prescriptions, reports, invoices andother documents as required by the pharmacy.
4. Adhere to all policies and procedures, dress code and workethics.
5. Effectively communicate with customers, management, andassociates.
6. Successful completion of assigned projects as required byPharmacy Operations Manager.
7. Required attendance at any scheduled intern trainingmeetings.
MANDATORY JOB QUALIFACATIONS:
Must be enrolled as a Full-Time student in an accredited Schoolof Pharmacy.
PRINCIPAL WORKING RELATIONSHIPS:
Customers Pharmacy Associates, Medical Office Staff, StoreManagement, Store Associates, Regional Management, District Management,Corporate Management, and Support Staff.