Pharmacy Technician Medication Care Coordination

Corewell Health • Grand Rapids, MI

2d • Onsite

About The Position

About the Medication Care Coordination Team The Medication Care Coordination (MCC) team is a centralized pharmacy team that works closely with insurance companies, treatment providers, clinical, and administrative staff across a variety of care settings to coordinate effective care delivery and revenue cycle integrity for patients receiving infusion services across Corewell Health. MCC team members complete patient benefit investigation, prior authorizations (PA), and navigate coverage complexities including medical necessity requirements, site of care restrictions, and authorization denials/appeals. Scope of Work This position is a supportive role for the systems ambulatory clinics. The tasks for this position will include, but are not limited to, completing pre and/or prior authorizations, assisting with patient assistance programs, scheduling patients from provider referrals or other registries, working with insurance companies to review coverages, communicating with patients and clinical staff, and managing parts of the medication use cycle. There will be additional opportunities to think innovatively and collaborate on projects with other departments and within our own department. Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators. Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled. Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries. Demonstrate the ability to utilize all payer websites to assist verifying patient’s coordination of benefits and authorization requirements. Assist with inventory and medication use cycle tasks if in clinic. Organize and track data for multiple payer programs and service lines. Communicate positively and effectively with patients, colleagues, and clinic staff. Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.

Requirements

• High School Diploma or equivalent
• LIC-Pharmacist Intern - STATE_MI State of Michigan Upon Hire required
• Or LIC-Pharmacy Technician Temp - STATE_MI State of Michigan Upon Hire required
• And LIC-Pharmacy Technician - STATE_MI State of Michigan 90 Days required
• CRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required
• Or CRT-Exam for the Certification of Pharmacy Technicians (ExCPT) - NHA National Healthcareer Association Excludes - LIC - Pharmacist Intern 90 Days required
• This position will require Strong Proficiency in Microsoft Applications, such as MS Word, Excel, Outlook, Teams, and OneNote

Nice To Haves

• Associate's Degree
• 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
• 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
• 1 year of relevant experience Epic Experience Preferred
• Ideal candidate will possess both Full Pharmacy Technician License and National Certification, such as CPhT from PTCB and ExCPT from NHA
• Ideal candidate will also possess 1+ years of Retail Pharmacy experience and preferably 1+ years of Prior Authorization Experience or Insurance Navigation experience
• Epic Proficiency would be a very strong Plus

Responsibilities

• Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators.
• Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled.
• Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries.
• Demonstrate the ability to utilize all payer websites to assist verifying patient’s coordination of benefits and authorization requirements.
• Assist with inventory and medication use cycle tasks if in clinic.
• Organize and track data for multiple payer programs and service lines.
• Communicate positively and effectively with patients, colleagues, and clinic staff.
• Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here .
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees