Pharmacy Technician - Medication Access Specialist - FT - Days - MSS

Memorial HealthcareHollywood, FL
Onsite

About The Position

At Memorial Healthcare System (MHS), our ever-growing pharmacy career options present unlimited opportunities to individuals passionate about advancing pharmacy practice. As a nationally recognized and respected leader for providing “A-rated” patient care and safety, MHS prides itself on being able to grow and adapt to the rapidly evolving needs of our community and healthcare industry.

Requirements

  • High School Diploma or Equivalent (Required)
  • Certified Pharmacy Technician (CPHT) - Pharmacy Technician Certification Board (PTCB)
  • Registered Pharmacy Technician (RPT LICENSE) - State of Florida (FL)
  • Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Three (3) years of pharmacy experience.
  • Proficient understanding of the delivery of healthcare across multiple service lines.
  • Certified pharmacy technician through a nationally accredited organization.

Responsibilities

  • Coordinates receipt, delivery and distribution of free drug, drug replacements and bulk pharmaceuticals.
  • Assesses, assists and enrolls patients that require financial assistance for pharmacy services.
  • Contacts pharmaceutical companies to obtain information and enrolls patients into pharmaceutical patient assistance programs.
  • Monitors and coordinates re-enrollment or transition into additional pharmacy service lines.
  • Ensures compliance with financial and regulatory requirements.
  • Coordinates and ensures appropriates credit to patient accounts when applicable.
  • Participates in pharmacy reimbursement initiatives that increase patient access to pharmaceutical services and promotes cost savings to the health system.
  • Performs pharmacy benefit investigation and applies knowledge and understanding of the coverage rules by third party payers, including Medicare and Medicaid.
  • Identifies therapies that require certification of medical necessity.
  • Works with providers and payers to obtain approval.
  • Initiates support for appeals to denied authorizations for pharmacy services.
  • Processes patient financial documentation for pharmacy financial assistance eligibility.
  • Develops reimbursement payments schedules for patients with special needs.
  • Tracks status of expiring reimbursements and processes renewals for patients as appropriate.
  • Improves access to pharmaceutical therapy by performing pharmacy benefit investigation, prior authorizations, copay assistance, enrollment in manufacturer free drug programs, including medication replacement and appeals as appropriate.
  • Tracks, trends and reports financial data related to drug reimbursement and replacement transactions.
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