Specialty Pharmacy Technician

About the role

A Specialty Medication Coordinator is responsible for managing third-party billing or patient financial assistance for patients within the health system. Additional activities may include patient onboarding, order entry, financial tracking, patient care coordination, medication ordering/tracking, cold chain distribution and shipping activities.

Responsibilities

• Timely process of referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes.
• Collaborate with other departments to assist in obtaining prior authorizations, patient assistance medications or financial assistance.
• Absorb medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.
• Follows prior authorization and/or patient assistance workflows and policies/procedures.
• Demonstrates the ability to work independently, meet deadlines and possesses excellent time management skills.
• Perform tasks accurately and efficiently.
• Possesses excellent interpersonal, customer service and communication skills (both written and verbal); timely responses to key stakeholders.
• Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure/workflow.
• Completes timely documentation within the required tracking systems and retrieves necessary documentation and maintains up to date knowledge of the pharmaceutical companies’ patient assistance programs.
• Proactively tracks and manages patient refills/outreach to ensure timely prescription/infusion service.
• Proactively works on prior authorization and patient assistance enrollments that are due to expire.
• Secures patients’ demographic and medical information in compliance with organization HIPAA policies and procedures.
• Assists management with inspections, audits, reports and training to ensure compliance with standards and to provide quality service.

Qualifications

• Program Graduate, Pharmacy Technician Training Program or equivalent (Preferred)
• Program Graduate, Licensed Practical Nurse (Required)
• Program Graduate, Certified Medical Assistant (Required)
• 3-4 years Experience as a Pharmacy Technician, LPN or CMA (in lieu of education) (Required)
• 1 year Experience obtaining and managing medication prior authorization as part of job function (Preferred)
• 1 year Prior Experience obtaining and managing patient assistance program applications (Preferred)

Skills And Abilities

• Familiar with medical and pharmacy terminology
• Prescription drug and over-the-counter knowledge
• Basic math skills, including pharmaceutical calculations
• Basic pharmacy workflow
• Understanding pharmacy computer systems
• Ability to navigate and read electronic health record
• Strong written and verbal communication skills
• Ability to prioritize, problem solve and multitask
• Excellent customer service skills
• Knowledge of patient assistance programs
• Experience with prior authorization of medications
• Strong organizational skills and detail oriented
• Advanced certification in specialty pharmacy field (PTCB, ASHP, NCODA and other approved programs) (Preferred)

Benefits

The actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Pay

Range $23.90 - $31.10/Hourly

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