Pharmacy Care Tech

ESSENTIAL FUNCTIONS

• Perform insurance verification, order entry and prescription processing from multiple modalities
• Review prescriptions for accuracy and completion
• Follow procedures and scripts during patient engagement
• Decipher single or multiple script needs based on availability of dosage formulations
• Onboard all new patients
• Setup and verify all medication deliveries
• Cook up all prescription orders sent to external specialty pharmacies
• Complete specialty claims processing including but not limited to inclusion of prior authorizations, rejections, copay cards, and overrides
• Identify and match claims to appropriate co-pay assistance cards, foundation assistance and apply appropriately to the adjudicated claims
• Troubleshoot complex insurance problem resolutions covered in summary
• Answer patient calls, as required and assist with patients’ needs and questions
• Triage and resolve voicemail, messenger, and Inbox
• Absorb and coordinate payments
• Participate in Quality Improvement/Assurance meetings, committees, and ongoing projects as needed
• Participate in pharmacy and organizational projects and initiatives
• Conduct patient outreach at designated cadence within care plan to assess medication adherence and identify any deterrents
• Check for medication changes and/or discrepancies (dose changes, discontinued medications etc)
• Work within multiple computer systems simultaneously
• Notate all necessary call content with minimal wrap-up time
• Connect patients with pharmacist regarding all medication questions and ensure prompt response to the patient’s question
• Perform data entry, data quality check and data reconciliation to ensure consistent documentation

Knowledge, Skills & Abilities

• Ability to manage time to meet daily deadlines
• Ability to follow instructions and procedures
• Adaptability to variations in workload
• Ability to multitask while maintaining accuracy and proficiency
• Skill in data entry, and basic computer usage
• Ability to work independently and cooperatively in a team environment
• Active listener who possesses effective and professional communication skills

Physical Requirements

• Physical Activity Required: None
• Amount of time: Less than 1/3 (Occasionally)
• Standing: X
• Walking: X
• Sitting: X
• Fingering or manual dexterity: X
• Repetitive finger motion: X
• Lifting or exerting force: Up to 10 pounds
• Reaching or stretching: X
• Climbing or balancing: X
• Crouching or stooping: X
• Speaking: X
• Hearing: X
• Seeing (with correction): X