Elements and Performance Criteria
- Maintain dispensary computer system.
- Monitor and use system information.
- Update dispensary system data regularly to ensure accuracy and currency.
- Provide clear information to pharmacist about changes to dispensary system data and seek guidance on issues requiring pharmacist instruction.
- Generate, review and distribute regular dispensary reports.
- Identify customer information for follow up in relation to additional services or programs and advise pharmacist.
- Generate documentation that supports pharmacist interactions with customers about services and programs.
- Protect customer privacy and ensure confidentiality of stored information.
- Minimise use of printed materials and maximise electronic transmission and record keeping to reduce waste.
- Prepare PBS claims.
- Follow organisational procedures for administering and reconciling claims.
- Interpret and adapt to changing requirements for claims lodgement.
- Close off prescription claim period, as directed by pharmacist, to meet Medicare Australia and PBS claim deadlines.
- Check prescription forms for patient or agent signature and date.
- Prepare accurate and complete claims.
- Collate prescriptions into patient groups.
- Check serial numbers, identify and refer missing serial numbers to pharmacist.
- Refer completed hard and soft copy claims data to pharmacist for sign-off, and lodge with Medicare Australia.
- Reconcile Medicare Australia payments.
- Analyse and reconcile Medicare Australia payments against data lodged by pharmacy for the claim period.
- Identify and resolve reconciliation discrepancies within scope of own role.
- Identify outstanding payments and refer to pharmacist.
- Identify out-of-period adjustments from prior claims and refer to pharmacist.