Specialty Pharmacy Technician

Job Responsibilities

• Conducts the benefits investigation process, including coordination with payers to investigate and verify terms of patient coverage and out-of-pocket costs
• Provide timely and accurate information regarding coverage and cost to patients and BSP team members
• Initiate and manage prior authorization process for new specialty prescriptions and prospectively track expiring authorizations, obtaining renewals as needed to prevent gaps in treatment
• Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs
• Understand The Centers for Medicare & Medicaid Services (CMS) regulations and billing guidelines and complete required training pursuant to BSP policies and procedures (e.g., fraud, waste, and abuse training)
• Answer insurance and billing questions and provide feedback to management regarding contracting opportunities and process improvements
• Obtain all necessary paperwork and financial information needed for patients seeking financial assistance
• Conduct research on all available sources of funding and resources available for each particular BSP patient scenario
• Work timely to resolve urgent requests from patients, caregivers, and medical/nursing staff
• Process new and refill prescriptions accurately, through the proper use of equipment and techniques, based on BSP policies and procedures for prescription entry and dispensing
• Provide superb customer service when communicating with patients and when communicating with medical/nursing staff to obtain key information needed to allow for dispensation of medication
• Maintain, purchase and organize inventory supply in a manner which minimizes inventory storage cost, wastage, and stock-outs
• Monitor required areas for outdates, cleanliness, organization, and drug/supply stock levels
• Prepare medication in a manner that minimizes cost due to wastage
• Participate in departmental process or quality improvement initiatives
• Document all activity and communication within designated documentation system
• Interact with patients over the phone to coordinate prescription refill(s), specialty prescription deliveries, maintain updated billing information and patient address
• Complete special projects as assigned by supervisor

Qualifications

• Minimum Required: 5 years experience in outpatient pharmacy or clinic setting
• Preferred/Desired: Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT)