Order Entry Lead Tech

Find your fit & love your job!


Community: CarDon and Associates Corp
Location: Indianapolis, IN
Full Time
All Shifts


Join the CarDon family! It’s an environment that’s exciting, respectful and rewarding. We offer positions with amazing benefits, like weekly pay, cell phone discounts and premium access and discounts on hotels, Universal and Disney and more! CarDon is the place for you.

Working with us, you will get weekly pay, paid time off and a family-owned organization. Plus, we have some amazing benefits.

Check it out

CarDon is a family-owned senior-living company with more than 20 communities in the Midwest. We offer independent and assisted living, rehabilitation, skilled nursing and memory support. We’re rapidly growing, offer a wide variety of career paths, and reward bright ideas and hard work. Work for the best and join the Heart of the CarDon family of care.

I. Team Lead Duties (15%)
  • Assist Manager in hiring, disciplinary & performance evaluations of Order Entry Staff
  • Training of new processes implemented in the Order Entry department
  • Retrains staff where necessary to reduce errors
  • Review and maintain appropriate scheduling for staff
  • Support staff regarding daily concerns and questions
  • Maintains schedule and attendance for Order Entry department
II. Prescription processing (65%)* Data Entry of new and refill orders which includes:
  • Ability to interpret and understand prescription directions, including the clarification and communication to the facility when necessary
  • Identifies orders that can not be processed due to coverage issues, missing information, or inability to read/understand
  • Input of medication orders with correct medication and frequency. Minimum requirement is 30 orders per hour.
  • Ensures formulary substitutions are made appropriately based on facility contracts
  • Completes appropriate paperwork/forms, as well as communicating order exceptions and any other discrepancies to facilities and team leaders
  • Transmit all third party and Medicaid online claims at time of order entry to ensure payment as well as dispensing fee.
  • Understanding of the special requirements for each payer including Medicare/Managed Care/Medicaid Formulary and Non-Formulary/Third Party Insurance as well as communicate discrepancies to facilities regarding:
    * Formularies
    * Rejections
    * Contract requirements
    * Exclusions and Non-covered medications
  • Ability to adhere to special Facility processing requirements (i.e. House Stock, Non-covered Medication Policies)
  • Ability to research, communicate, and follow-up with facility regarding any processing and reimbursement issues with order
III. Admission/Readmission of residents to Pharmacy System (15%)
  • Process new admission/readmission information for residents being serviced by Skilled Care which includes:
1. Reviews admissions and enters correct admission pay type information into system, calling facility when pay type information not available
2. Collects information from facilities regarding resident insurance cards, social security number, guarantor demographics, room number, wing, allergies, diagnosis, verifies patient medication needs, etc.
3. Verifies Insurance/Medicaid eligibility
4. Identifies orders that can not be processed due to coverage issues, missing information, or inability to read/understand
5. Communicates with facility and Third party providers to get necessary coverage, missing information etc. to correct order to be processed
6. Input of medication orders with correct medication and frequency
7. Ensures formulary substitutions are made appropriately based on facility and third party provider contracts
8. Completes appropriate paperwork/forms, as well as communicating order exceptions and any other discrepancies to facilities, third party providers, and team leaders
9. Transmit all third party and Medicaid online claims at time of order entry to ensure payment as well as dispensing fee.
10. Documents all admits/readmits processed on the admission log
 
IV. Other Responsibilities (5%)
  • Exhibits a “team work” attitude
  • Attends training as provided for self-improvement and quality of work
  • Accepts other duties as assigned
  • Supports Skilled Care’s Mission and high standard of customer care
  • Associate degree in health-related field or 1-2 years direct work experience in health related field.
  • Understanding of Medicare/Medicaid/Insurance Pay types, medical terminology, and brand/generic medications required.
  • Working knowledge of Microsoft Word and Excel, or like applications.
  • Demonstrate superior customer service skills.
  • Ability to interact with all levels of department representatives both internally and externally.
  • Ability to exhibit effective verbal and written communication skills.
  • Maintains high level of attendance and punctuality.
  • Communicates in a positive and respectful manner with customers and internal team members.
  • Generates and supports ideas to improve service to internal and external customers.

Find your calling with CarDon. Apply today!

Don’t hesitate to reach out with any questions or inquiries.

(317) 600-2062 • careers@cardon.us