Pharmacy Tech- Specialty Pharm Rep
About The Position
The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians and pharmacists in the completion of: claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients. Responsibilities include entering the patient information; name, date of birth, insurance information, allergies and medication history into our therapy-specific patient assessment software. Assist with the filling and distribution of prescriptions, under the direction of a patient care pharmacist, in accordance with the law. This position is onsite at our Specialty Pharmacy division in King of Prussia: 3500 Horizon Drive King of Prussia, PA 19406
Responsibilities
- Adjudicate and review claims responses for reimbursement and profitability
- Analyze claims messages to determine next steps for order escalation as needed: Prior Authorization, Benefits Investigation, Step Therapy, Non-Formulary, Financial Assistance, etc
- Schedule delivery of high dollar/specialty medications as well as other maintenance medications to maintain patient adherence and compliance to prescribed therapy according to departmental policy and guidelines
- Assess patient need for clinical intervention based on how they answer the refill questions or any information they may provide unrelated to the refill assessment
- Identify any barriers to care, non-compliance, changes in therapy/dosing and escalate to the clinical support team when appropriate
- Review patient chart to ensure all information is accurate and up to date
- Explain insurance coverage to patients as it relates to their copay responsibility and financial resources available to them
- Screen patients for financial assistance and apply on their behalf where applicable
- Print paperwork and fill prescriptions under the supervision of a clinical pharmacist
- Track and monitor deliveries to ensure medication arrives to patient undamaged; intervene where necessary to reship delivery
- Contributes to departmental Quality Assurance/Quality Improvement activities. Expected participation no less than 2% of time – increased participation based on need/project.
- Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.
Benefits
- Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
- Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
- All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.
- For more benefits information, please click here
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
