Pharmacy Patient Specialist | Specialty

Position Highlights

*May be eligible for a $4,000 sign-on bonus!

A Brief Overview

Works proactively with pharmacy patients to provide comprehensive financial planning and financial advocacy. Responsible for prescription insurance verification, prior authorizations and compassionate care medication programs. Works to reduce access and financial barriers to medications for patients. Provides superior customer service; facilitates third party and patient billing for pharmacy patients. Secures pharmacy patient accounts to ensure payment of medications; provides problem solving for patients and internal customers.

What You Will Do

• Understands the process of insurance verification and online prescription adjudication.
• Investigates patient insurance benefits and other supplemental payer information in order to maximize prescription medication funding and minimize out of pocket expenses.
• Investigates alternate funding from non-profit foundations or manufacturer sponsored compassionate care programs.
• Initiates and monitors prior authorizations.
• Maintains communication with health care providers, pharmacy benefit managers and pharmacy patients in order to ensure timely delivery of medications.
• Performs clerical/billing functions associated with the medication distribution system.
• Accurately packages and labels drug products and makes routine and special deliveries of medications.
• Assists with the collection and maintenance of records as needed by the Pharmacy department, Joint Commission accreditation, OSHA guidelines, and other accreditation as may be required by law, practice standards or departmental policy.
• Participates in continuous quality improvement activities which comprises at least 10% of duties and promotes patient safety.

Essential Qualifications

• The individual must be able to work the hours specified.
• To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.

Required Education, License/Certification, Or Work Experience

• High School or GED Equivalent or one to three months related experience and/or training; or equivalent combination of education and experience
• Registered Pharmacy Technician - Board of Pharmacy within 30 Days and
• Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB) within 90 Days or
• Certified Pharmacy Technician (CPhT) - National Healthcareer Association (NHA) within 90 Days
• 1-3 years experience as a certified pharmacy technician

Preferred Education, License/Certification, Or Work Experience

• Technical Certificate Pharmacy Technician Technical Program

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement.
• Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law.