Certified Specialty Pharmacy Technician (CPhT) - Specialty Pharmacy Liaison - Mason Service Center

Mercy Health BSMH • Mason, OH

3d

About The Position

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities.
Primary Function/General Purpose of Position
The Specialty Pharmacy Liaison is responsible for supporting standardization and optimization of specialty pharmacy services across Bon Secours Mercy Health. The goal for the Specialty Pharmacy Liaison is to ensure proper processing and problem solving of specialty medications and other medications supported by pharmacy and to provide patients and provider offices a high level of service. The Specialty Pharmacy Liaison is responsible for providing excellent customer service via phone and occasional direct patient contact, receiving patient prescriptions, reviewing the medication list with a patient, answering phones and triaging phone calls to the pharmacist as necessary, and helping maintain the pharmacy in proper order. The Specialty Pharmacy Liaison will help patients receive their medications in the most convenient way possible and at the lowest cost possible, including facilitating third party billing and helping provide patients with comprehensive financial advocacy to help lower their drug cost. The Specialty Pharmacy Liaison will work proactively with patients, providers and their clinic staff, and the specialty pharmacy team to provide superior customer service.

Requirements

• Applicable state board-certified Pharmacy Technician License (required)
• National Certified Pharmacy Technician or Pharmacy Technician License (required)
• High School/GED (required)
• 1 year of experience in provider clinic, specialty and/or retail pharmacy (required)
• Ability to work independently with minimal supervision
• Strong computer skills with knowledge of various software programs including Microsoft products
• Excellent organizational, analytical, and problem-solving skills
• Ability to build strong relationships within and outside of the pharmacy including physician office staff, payers, and patients
• Ability to manage a variety of complex issues
• Ability to adapt to an ever-changing environment
• Proficiency with telephone and office equipment
• Microsoft Office (Outlook, Excel, Word and PowerPoint)
• Ability to use available merchandising resources
• Knowledge of drug wholesalers and ordering systems
• Understanding of cold-chain distribution
• Understanding of HIPAA and confidentiality of patient information

Nice To Haves

• Bachelor’s Degree, Graduate of Pharmacy Technician Course (preferred)
• EPIC Electronic Health Record (preferred)
• Diverse and highly developed skill set including but not limited to: time-management, communication, creativity, vision, teamwork, leadership, clinical knowledge base/skills, mentorship, change management, and project management.
• EPIC electronic medical record functionality

Responsibilities

• Process prescription information in the computer system.
• Assist in complete and accurate billing of third-party payer plans.
• Ensure accurate and safe processing of prescription information.
• Review patient profile for accuracy
• Assist customers with prescriptions and/or other products.
• Complete specialty pharmacy orders to meet customer needs.
• Demonstrate ability to respond to customer/co-worker questions or concerns in an appropriate and customer-focused manner.
• Assist in the preparation and delivery of medications and supplies as assigned.
• Receive prescriptions from patients; gather customer information per department policy.
• Prepare prescription drug therapy for patients in an accurate and timely fashion in accordance with all legal requirements, regulatory agencies and organizational policy.
• Document appropriately and maintain updated patient charts.
• Ensure refill dates are documented appropriately to prevent patient’s missing a dose.
• Assist the pharmacist in identifying patient problems and issues.
• Access, maintain, and update patient accounts and charts.
• Assist with obtaining prior authorizations.
• Assist the specialty team and provider’s office in appealing denials, where appropriate.
• Work closely with office staff to ensure refill authorizations are proactively obtained.
• Coordinate and ensure appropriate medication delivery.
• Coordinate delivery of medications, supplies and equipment to patients or other areas as assigned.
• Complete order taking, verifying proper information.
• Listen to customer concerns.
• Complete the work of a pharmacy technician as required.
• Answer phone calls, faxes, and computer requests in a timely manner.
• Cross train and cover all department technician areas assigned.
• Train other staff members and students as needed.
• Assist in maintenance of the pharmacy to reflect a clean and well-stocked condition daily.
• Provide initial patient set up to establish account with the specialty pharmacy.
• Verify patient insurance coverage.
• Assist patients in working with insurance companies.
• Research to optimize patient-specific and drug-specific copay assistance.
• Provide recommendations on additional funding sources.
• Contact insurance carriers, benefits offices and patients to determine new and ongoing coverage levels.
• Verify insurance information and level of coverage.
• Inform patient of pharmacy benefits coverage.
• Assist patient with the specialty pharmacy process for non-participating pharmacy for patient ease in out-of-network situations.
• Plan and schedule patient deliveries with respect to efficiency, time, priority, product specific shipping needs, and cost effectiveness.
• Communicate with internal departments and external specialty pharmacies to ensure customer needs are met.
• Evaluate delivery requirements and ensure timely and accurate delivery.
• Proactively communicate with patients when there are delivery delays.
• Determine best method of delivery with relationship to location and time constraints (Fed Ex, UPS, Courier, Mail, or other modes as necessary).
• Coordinate the receipt of initial shipments.
• Adheres to organizational rules, regulations, and polices
• Demonstrates Commitment to Customers by being aware of different customer needs/desires, taking action to meet customer needs/desires with respect to customer diversity, helping improve processes to meet customer needs, suggesting and acting on ideas to improve overall customer service, respecting confidentiality and shares information with only those that need to know, problem solving issues as they arise to meet internal and external customer needs.
• Demonstrates Commitment to Fellow Employees by seeking to understand and valuing differences between employees, treating other employees with dignity and respect, demonstrates open, honest communication and behavior, resolving conflict in a positive manner, contributing to the productivity of the workgroup
• Demonstrates Commitment to Bon Secours Mercy Health by living the values of dignity, integrity, service, and compassion, supporting the mission/vision, speaking positively about organization, choosing to make organization a better place, providing feedback for continual process improvement

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support
• Benefits may vary based on the market and employment status.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED