About The Position

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.   About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.$2,500 Commitment Bonus for Newly Hired Team Members   Applicable Position Description: Pharmacy Technician – Inpatient Medication Access (Cardiology)   Position Summary:   This pharmacy technician will complete medication Prior Authorizations and participate in the Patient Assistance Program for the Department of Pharmacy ensuring patient access to prescribed medications and drug accountability for drug replacement programs and manufacturer assistance programs in compliance with hospital, state, and federal requirements. This pharmacy technician will primarily be based out the Heart Center and will support medication prior authorizations and patient assistance for Cardiovascular Service Line patients.   Job Description: Establish provider, pharmacy, and patient relationships conducive to effective patient care Receive referrals to complete medication prior authorizations from clinical pharmacists and providers Verify prescription insurance benefits and/or medical benefits are currently active for patients Complete benefits investigations to determine coverage level and patient responsibility Submit required forms and documentation to insurance companies via phone/fax and/or web portals Follow up on requests to receive determination decisions in a timely manner Communicate and document all status updates to patients, providers, and pharmacies Assists self-pay and underinsured patients in obtaining costly medications primarily from drug manufacturer replacement programs and manufacturer assistance programs. Works with the Patient Revenue Management Organization to assist in drug replacement for insured patients with drug denials. Forwards credits to Pharmacy Financial Management Team for assisted patients. Interviews potential patients for assistance and collect all financial forms related to the self-pay status. Inputs patient information (including insurance information) into WAM. Works with clinical pharmacists to follow patient management program requirements Provides input into and participates in quality improvement activities Other duties as appropriate for this position

Requirements

  • High school diploma or equivalent and completion of an accredited pharmacy technician training program.
  • Acceptance into pharmacy school.
  • High school diploma or equivalent and one year of pharmacy or health care related experience.
  • Minimum of one year of related experience.
  • North Carolina Board of Pharmacy registration is required.
  • Pharmacy Technician certification is required from the Pharmacy Technician Certification Board (PTCB) or The Exam for the Certification of Pharmacy Technicians (ExCPT).

Nice To Haves

  • Two years of experience as a pharmacy technician preferred

Responsibilities

  • Establish provider, pharmacy, and patient relationships conducive to effective patient care
  • Receive referrals to complete medication prior authorizations from clinical pharmacists and providers
  • Verify prescription insurance benefits and/or medical benefits are currently active for patients
  • Complete benefits investigations to determine coverage level and patient responsibility
  • Submit required forms and documentation to insurance companies via phone/fax and/or web portals
  • Follow up on requests to receive determination decisions in a timely manner
  • Communicate and document all status updates to patients, providers, and pharmacies
  • Assists self-pay and underinsured patients in obtaining costly medications primarily from drug manufacturer replacement programs and manufacturer assistance programs.
  • Works with the Patient Revenue Management Organization to assist in drug replacement for insured patients with drug denials.
  • Forwards credits to Pharmacy Financial Management Team for assisted patients.
  • Interviews potential patients for assistance and collect all financial forms related to the self-pay status.
  • Inputs patient information (including insurance information) into WAM.
  • Works with clinical pharmacists to follow patient management program requirements
  • Provides input into and participates in quality improvement activities
  • Other duties as appropriate for this position

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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