Pharmacy Technician - Specialty Pharmacy

About the role

Shape the Future of Healthcare
We're seeking a Pharmacy Technician, or Care Coordinator, to join our dynamic team at AscellaHealth, where your expertise will directly contribute to improving health outcomes for patients with complex, chronic conditions and rare diseases. This role offers the opportunity to serve as a patient’s first or ongoing point of contact. You will act as the patient advocate and champion, guiding patients through obtaining pharmaceuticals unavailable at chain pharmacies.

Key Responsibilities

• Act as a patient advocate to gain insurance coverage for prescribed therapies.
• Welcome new patients and create profiles with all the critical information.
• Conduct periodic insurance verification and/or authorizations for patient coverage.
• File claims for patient prescriptions and orders.
• Complete collection activities per client program specifications.
• Provide an initial and ongoing investigation and benefit explanation to the patient.
• Obtain and maintain Prior Authorizations.
• Create patient orders and associated prescription entries for new and refilled prescriptions.
• Communicate with prescribers, including requesting new prescriptions.
• Bill appropriate entities for RX drugs and administration supplies.
• Aid patients with possible financial assistance.
• Arrange all necessary documents and materials for initial and ongoing shipments.
• Cook up all deliveries and process any patient returns.
• Obtain necessary consent forms for manufacturers or patient support organizations.
• Assist pharmacists with day-to-day tasks such as filling prescriptions and entering prescription information into the patient management system for pharmacist verification.
• Aid in preparing any ad hoc report requests from clients.
• Perform other related duties as assigned or as necessary; remains flexible and adaptable in work schedules and work assignments as defined by departmental and organization needs.

What this position will focus on

Patient advocacy and support – You will guide patients through the process of obtaining specialized medications.
Insurance and coordination – You will conduct and complete insurance verifications, prior authorizations, and filing of claims – means of helping patients gain insurance coverage.
Ensuring patient satisfaction – You will deliver exceptional white-glove service by welcoming new patients and guiding them seamlessly through the specialized medication acquisition process, including securing possible financial assistance options and coordinating timely deliveries to ensure optimal patient satisfaction and care outcomes.

Skills, Education & Abilities

• Knowledge of medical terminology required
• Knowledge of medical/pharmacy insurance benefit language- ie. EOBs, deductibles, out-of-pocket, co-insurance, co-pays, etc.
• Ability to define CMS 1500s, provider numbers, CPT, HCPC’s, 1CD9, NCPDP, and NDC codes/numbers
• Knowledge of Medicare and Medicaid billing
• Experience with prior authorization and SMN preparation
• Knowledge of insurance claim appeals
• Strong attention to detail and the ability to be a creative self-starter and team player
• Computer literate and proficient with Microsoft Office
• Ability to participate in and facilitate group meetings
• Must be able to effectively multitask and work in a fast-paced environment, with the ability to prioritize competing tasks
• Excellent analytical skills and the ability to provide solutions to complex problems
• Ability to be highly transparent, ethical, and driven
• Excellent written and verbal communication skills and interpersonal skills are required
• Willingness to work a flexible schedule

Essential Requirements

• A high school diploma or equivalent is required.
• 2 or more years of experience with medical/pharmacy insurance verification, including benefit investigation.

Preferred Qualifications

• Pennsylvania Pharmacy Tech license strongly preferred but not required
• Patient Assistance Program knowledge is helpful

About Us

AscellaHealth is a mission-driven, global healthcare company focused on solving challenges across the complex specialty and retail pharmaceutical ecosystem—always with patients at the center of what we do. We partner with payers, pharmaceutical manufacturers, and healthcare stakeholders to improve access to critical therapies through technology-enabled solutions that span the full pharmaceutical lifecycle, from commercialization and specialty pharmacy to care coordination, distribution, and pharmacy management. Supporting more than 450 health partners and 1.2 million patients worldwide, our work makes a meaningful difference every day.

What sets AscellaHealth apart

We are a collaborative, entrepreneurial team that values transparency, continuous learning, and shared purpose. Employees are encouraged to bring ideas forward, take ownership of their work, and grow alongside a company recognized by Inc. and the Financial Times for sustained success. At AscellaHealth, you’ll find a supportive environment where your contributions matter and your work helps shape the future of specialty healthcare.

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