POD Pharmacy Support Specialist

JOB SUMMARY & RESPONSABILITIES:

Responsible for the receipt, handling,filing of Proof of Delivery (POD) documents and ensuring completeness in the POD cycle.  Ensures files are organized and retained as per the corresponding policy. The Delivery Tickets Support Specialist is responsible for making calls and emails related to the delivery tickets process and securing original prescriptions at the pharmacy and tracking deductibles as required.  

Responsibilities include, but are not limited to the following:

Essential Functions:

• Receives POD documentation in both physical and/or electronic formats. 
• Filing, indexing and digitalization of paper documents and confirmation of these in the billing system. .
• Ensuring files are organized and retained as per the corresponding policy.
• Separates medical orders from tickets and ensures filing in medical records. 
• Ensures tracking of pending documents to meet monthly closing requirements and dates.
• Interacts closely with RCM unit as relates to monthly billing and closing processes.
• Register deductibles that have been received and are still pending at the billing table.       
• Maintains constant and effective communication with internal departments and external companies providing POD documentation to resolve any situations and provide assistance. 
• Ensures all tasks and required reporting comply with established monthly closing dates. 
• Responsible for filing patients records after being audited.
• Responsible for managing incoming calls from company couriers to patients. Attending patient delivery courier calls to ensure prompt resolution and correct patient delivery to patients.

• Ensures compliance with all applicable regulatory, legal, and accreditation requirements, and internal policies and procedures. Participates in internal control documentation, testing, and remediation activities as required. Maintains ongoing awareness of compliance obligations and supports audit processes to uphold operational integrity and accountability across all functions.

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• Maintain HIPAA standards and confidentiality of protected health information.

Other Duties:

• Participate in quality and patient safety initiatives. Identify potential areas for improvement including processes that could be streamlined or revised to improve patient satisfaction. Identify potential safety hazards that may create problems for patients and/or staff and take appropriate actions. Participate in departmental meetings, contributing ideas or feedback.
• Perform other related duties as assigned.

REQUIRED PROFESSIONAL EXPERIENCE & PROFESSIONAL COMPETENCIES:

 Education and Experience:    

• High School Diploma or equivalent.
• 2 to 4 years of college education or Pharmacy Technician certificate. (preferred).
• 6 months to one-year healthcare experience. (preferred)
• Prior experience in medical billing is a definite plus. 

Required Skills:

• Understanding of medical terminology and pharmacy calculations.
• Organized, detail-oriented, have strong verbal and written communications skills.
• Proven ability to prioritize and multi-task.
• Able to work with integrity and accuracy.
• Competence in the use of Microsoft Office programs and applications and other computerized media and technologies, as well as good file management and clinical documentation.
• Mastery of electronic and office equipment, such as: computer, fax, photocopier, scanner, among others.
• Familiarity with Specialty Medications. (preferred)