Clin Pharmacy Tech II - Pharmacy Prior Authorizations

WVU Medicine•Bensley, VA

46d

About The Position

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Responsible for securing patient data based upon comprehensive data elements, financial education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third party claims management. Interviews patient for clinical, financial, and history information and arranges appropriate clinical care. A Clinical Pharmacy Technician will work independently gathering and submitted patient information with oversight of a pharmacist as needed. They will be responsible for performing pharmacy related functions in compliance with departmental policies and procedures that provide optimal pharmaceutical care.

Requirements

High school diploma or Equivalent.
One of the following: One (1) year of Pharmacy Technician or healthcare related experience AND - Be Nationally certified (PTCB or EXCPT) - Registered with the state Board of Pharmacy as a Pharmacy Technician upon hire (except PA). OR Three (3) years Pharmacy Technician or healthcare related experience AND - Nationally certified (PTCB or EXCPT) within 15 months of hire AND - Registered with the state Board of Pharmacy within 15 months of hire (except PA). - Registered with the state Board of Pharmacy as a Pharmacy Technician trainee upon hire (except PA).
Must complete job specific competencies or obtain specialty certification within 90 days of hire.
Must be able to use computers and software applications.
Must be able to work accurately, efficiently, and safely in a fast-paced environment.
Must be polite and respectful when communicating with staff, physicians, patients and families. Must approach interpersonal relations in a positive manner.
Must demonstrate flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.e. weather or disaster).
Must be able to communicate effectively verbally and in writing and place high emphasis on customer service.
While performing the duties of this position, the employee is required to walk and stand or sit for long periods of time.
Must be able to lift 30 pounds and must be able to push 50 pounds.
Dexterity required to finger, handle, and reach.

Nice To Haves

Associates degree OR Post high school education in a science field of study OR graduate of a pharmacy technician training program.
Knowledge of drugs, drugs dosing, side effects, indications, contraindications and proper administration preferred.
Knowledge of rules, policies and regulations related to the disbursal of pharmaceutical drugs preferred.

Responsibilities

Drafts various correspondence letters and sends to referral source when necessary.
Gathers and documents patient demographics, insurance information, needs assessment, patient history, and other data as needed.
Initiates refill/follow up calls and schedules delivery as needed
Provides information and answers to patient/caregiver questions and refers to clinician when appropriate or requested.
Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.
Contacts insurance company or employer to determine eligibility and benefits for requested services.
Maintains patient records in a timely and complete manner.
Assists the pharmacist with the process of filling and labeling the prescriptions.
Calculates initial measurements for compounds and maintains compounds logs.
Provides monographs and other required medication guides with each prescription.
Maintains proper storage of medications (i.e. security, temperature controlled items, etc.).
Demonstrates the knowledge and skills necessary to communicate to the infant, pediatric, adolescent, adult and/or geriatric patient per the established age-specific education/standard.
Works with coordinators and manager to develop and attain quarterly objectives.
Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.
Communicates problems hindering workflow to management in a timely manner.
Assists in the training of pharmacy technicians
Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions.