Pharmacy Patient Specialist | Specialty
About The Position
Works proactively with pharmacy patients to provide comprehensive financial planning and financial advocacy. Responsible for prescription insurance verification, prior authorizations and compassionate care medication programs. Works to reduce access and financial barriers to medications for patients. Provides superior customer service; facilitates third party and patient billing for pharmacy patients. Secures pharmacy patient accounts to ensure payment of medications; provides problem solving for patients and internal customers. Need working knowledge of insurance, Medicare and basic accounting principles. Able to deal with phone conversations, correspondence, or direct contact with people about billing issues. Coordinates work flow with other members of the healthcare team to ensure a productive and efficient environment.
Requirements
- The individual must be able to work the hours specified.
- To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
- High School or GED Equivalent or one to three months related experience and/or training; or equivalent combination of education and experience
- Registered Pharmacy Technician - Board of Pharmacy within 30 Days and Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB) within 90 Days or Certified Pharmacy Technician (CPhT) - National Healthcareer Association (NHA) within 90 Days
- 1-3 years experience as a certified pharmacy technician
Nice To Haves
- Technical Certificate Pharmacy Technician Technical Program
Responsibilities
- Understands the process of insurance verification and online prescription adjudication.
- Investigates patient insurance benefits and other supplemental payer information in order to maximize prescription medication funding and minimize out of pocket expenses.
- Investigates alternate funding from non-profit foundations or manufacturer sponsored compassionate care programs.
- Initiates and monitors prior authorizations.
- Maintains communication with health care providers, pharmacy benefit managers and pharmacy patients in order to ensure timely delivery of medications.
- Performs clerical/billing functions associated with the medication distribution system.
- Accurately packages and labels drug products and makes routine and special deliveries of medications.
- Prepares outpatient prescriptions for distribution.
- Assists with the collection and maintenance of records as needed by the Pharmacy department, Joint Commission accreditation, OSHA guidelines, and other accreditation as may be required by law, practice standards or departmental policy.
- Works closely with pharmacy staff to assure compliance with all applicable accreditations standards and State and Federal requirements and regulations.
- Participates in continuous quality improvement activities which comprises at least 10% of duties and promotes patient safety.
Benefits
- PTO available day 1 for eligible hires.
- Up to 5% employer matching contribution for retirement
- Career development guided by hands-on training and mentorship
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
