Travel Pharmacy Tech in Philadelphia, PA

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.