Bilingual Pharmacy Technician - Specialty Pharmacy

AscellaHealth•Berwyn, PA

2d•Hybrid

About The Position

AscellaHealth is seeking a Pharmacy Technician, or Care Coordinator, to join their dynamic team. This role will contribute to improving health outcomes for patients with complex, chronic conditions and rare diseases. The position serves as a patient's first or ongoing point of contact, acting as a patient advocate and champion. The technician will guide patients through obtaining pharmaceuticals unavailable at chain pharmacies, in English or Spanish. The role is based in Berwyn, PA, and requires being in the office 5 days a week for the first 90 days for training. After the initial training period, the role will be hybrid, requiring in-office work three days per week.

Requirements

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
A high school diploma or equivalent is required.
2 or more years of experience with medical/pharmacy insurance verification, including benefit investigation.
Experience using both English and Spanish languages in a professional capacity is required.

Nice To Haves

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

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.
Assist patients with possible financial assistance.
Arrange all necessary documents and materials for initial and ongoing shipments.
Coordinate 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.
Assist 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.