Pharmacy Care Tech

Tennessee Oncology•Nashville, TN

About The Position

The Certified Pharmacy Care Technician provides customer service and performs order-entry functions to meet customer demands while complying with Board of Pharmacy, federal, DEA, accreditation, and other regulatory requirements. The role focuses on medication adherence and coordinating processing among patients, insurance providers, patient assistance programs, and clinic staff. The position also supports pharmacy quality initiatives and organizational projects.

Requirements

At least 3 years of retail experience or 2 years of experience in a specialty pharmacy environment.
An active Tennessee State Pharmacy Technician license in good standing, or obtain one within 90 days of hire if not previously licensed in Tennessee.
Active pharmacy technician certification from an accredited body, in good standing.
Ability to manage time to meet daily deadlines.
Ability to follow instructions and procedures.
Adaptability to variations in workload.
Ability to multitask while maintaining accuracy and proficiency.
Ability to analyze situations critically and identify possible solutions independently.
Skill in data entry and basic computer use.
Ability to work independently and cooperatively in a team environment.
Effective, professional communication skills and active listening.
Ability to identify and integrate traditional or digital solutions into the patient experience to facilitate therapy adherence.

Responsibilities

Perform insurance verification, order entry, and prescription processing from multiple modalities.
Review prescriptions for accuracy and completeness.
Follow procedures and scripts during patient engagement.
Determine single- or multiple-prescription needs based on the availability of dosage formulations.
Onboard new patients.
Set up and verify medication deliveries.
Coordinate prescription orders sent to external specialty pharmacies.
Process specialty claims, including prior authorizations, rejections, copay cards, and overrides.
Process commercial, Medicare Part D, and Medicare Part B claims, including supplemental claims.
Match claims to appropriate copay assistance cards or foundation assistance and apply assistance to adjudicated claims.
Troubleshoot complex insurance problems.
Assist with cross-functional activities involving different teams.
Answer patient calls and help address patients’ needs and questions.
Triage and resolve voicemail, messenger, and inbox items.
Obtain and coordinate payments.
Manage inbound faxes.
Participate in Quality Improvement/Assurance meetings, committees, and ongoing projects as needed.
Participate in pharmacy and organizational projects and initiatives.
Conduct patient outreach at the cadence specified in the care plan to assess medication adherence and identify barriers.
Check for medication changes or discrepancies, including dose changes and discontinued medications.
Work in multiple computer systems simultaneously.
Document necessary call content while minimizing wrap-up time.
Connect patients with a pharmacist for medication questions and ensure a prompt response.
Perform data entry, data quality checks, and data reconciliation to support consistent documentation.
Perform other tasks as assigned by management.