Pharmacy Technician Specialist - Ambulatory Services – Mercy San Diego

Scripps Health•San Diego, CA

6d•Onsite

About The Position

The Pharmacy Technician Specialist will support Ambulatory Services. The Pharmacy Technician Specialist will be working in an office setting assisting with scheduling, answering phone calls, processing referrals, working through authorization and billing issues, and reconciling medication history. This position is ideal for someone who enjoys customer service, comfortable on the phone and prefers working in an office setting and has some prior knowledge of pharmacy and medical insurance processing.

Requirements

High-school diploma or equivalent
Advanced knowledge of specialty-drug formularies, payer prior authorization (PA) & appeal portals (e.g., CoverMyMeds, Optum, CVS Caremark, Express Scripts), ICD-10/CPT/HCPCS coding, REMS programs, and limited-distribution drug networks as appropriate to the role.
Proficiency with EMR systems (Epic preferred), payer websites, Microsoft Office, and workflow proficiency in area of practice.
Experience in inventory management, purchasing processes, and maintaining compliance with storage, handling, and ordering standards for specialty medications.
Excellent written/verbal communication, critical-thinking, and customer-service skills.
California Pharmacy Technician License
National Pharmacy Technician Certification (CPhT) required within six (6) months of hire
Minimum two (2) years of pharmacy-technician experience, with at least one (1) year in practice area

Nice To Haves

CPhT
Five (5) years combined inpatient/outpatient or specialty-pharmacy experience

Responsibilities

Under the direct supervision of a pharmacist, the technician supports outpatient specialty and ambulatory pharmacy services by completing benefits investigations, coordinating prior authorizations and appeals, and ensuring timely patient access to therapy.
Manages first fills and refills, delivery logistics, and collaboration with manufacturer hubs and financial assistance programs to streamline onboarding.
Provides proactive patient outreach, triages need, schedules refills, monitors adherence, and coordinates clinic visits and labs.
Oversees referral processing, inventory, and purchasing while maintaining regulatory and accreditation compliance.
Assists with staff training and workflow optimization, requiring strong communication skills, attention to detail, and expertise in complex payer and medication processes.