Pharmacy Technician - Specialty Call Center

Cleveland Clinic

2d•Hybrid

About The Position

Under the supervision of a pharmacist, the Specialty Pharmacy Technician is responsible for the data entry of required information from the prescription and patient profile in order to process and adjudicate prescriptions. Initiates prior authorizations, and communicates with third party payers on behalf of the physician and patient. Responsible for finding and applying manufacturer copay cards and initiating patient assistance and co-pay assistance applications. Proactively reaches out to patients to manage refills and schedule necessary current and future assessments. This position is full-time, 8-hour shifts, Monday through Friday, scheduled between 7:00 a.m. and 6:00 p.m. Caregivers in this role will complete an initial onsite orientation and training period at the Cleveland Clinic Administrative Campus for approximately 30–90 days. Following successful completion of training, a hybrid or remote work option may be available based on departmental needs. Due to occasional onsite requirements, candidates must reside within a commutable distance (approximately one hour) of the Cleveland Clinic Administrative Campus.

Requirements

High school diploma or equivalent
Upon hire, must be a Certified Pharmacy Technician (CPhT) through the Pharmacy Technician Certification Board (PTCB) OR the National HealthCareer Association (NHA).
Must hold an active registration through the Ohio Board of Pharmacy (OBOP) as either a Certified Pharmacy Technician, Registered Pharmacy Technician, or Pharmacy Technician Trainee.
If current status with the Ohio Board of Pharmacy (OBOP) is Registered Pharmacy Technician or Pharmacy Technician Trainee, it is required to update registration status to a Certified Pharmacy Technician with the OBOP within six months of hire.
Must be detail-oriented and able to identify and develop solutions by applying appropriate pharmacy standards and policies.

Nice To Haves

One year of experience in a pharmacy technician role

Responsibilities

Initiate prior authorizations and communicate with third party payers on behalf of the physician and patient.
Find and apply manufacturer co-pay cards and initiate patient assistance and co-pay assistance applications.
Reach out to patients to manage refills and schedule necessary current and future assessments.
Ensure the accuracy of prescription and patient data entered into various systems by verifying patient, drug, quantities, directions, day’s supply, insurance and physician data.
Conduct a thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims.
Explain benefit coverage and financial responsibilities to the patients.
Supply financial assistance contact information and/or initiates patient assistance and copay assistance applications on behalf of the patients.
Resolve aspects of specialty pharmacy insurances, including Medicare, Medicaid, Pharmacy Benefit Managers (PBM), and Preferred Provider Organizations (PPO) and communicates with payors and advises patients or physician of results as needed.
Communicate with patients professionally and customer-friendly to schedule the delivery of new and refilled medications and supplies.
Utilize all pharmacy systems to review patient profiles, enter changes and establish assessment schedules.
Document all patient/client/provider contact in appropriate computer systems.