Pharmacy Technician - Specialty Call Center

Cleveland Clinic

5d•Hybrid

About The Position

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. 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. You will initiate prior authorizations, and communicates with third party payers on behalf of the physician and patient. You will be responsible for finding and applying manufacturer copay cards and initiating patient assistance and co-pay assistance applications. In this role you will proactively reach out to patients to manage refills and schedule necessary current and future assessments. Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Under pharmacist supervision, the Specialty Pharmacy Technician is responsible for three subgroups of patients (Hematology/Oncology, Inflammatory and Infectious Disease and Cardiology) is responsible for data entry of required information from the prescription and patient profile to process and adjudicate prescriptions. They initiate prior authorizations, coordinate with third-party payers, apply manufacturer copay cards and assist with financial aid applications. The technician also contacts patients to manage refills and schedule assessments. 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. This position is full-time, 8-hour shifts, Monday through Friday, scheduled between 7:00 a.m. and 6:00 p.m. 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).
In addition, it is required to 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 updating 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

Works well in a team with other caregivers.
Has previous retail pharmacy experience.
Is detail-oriented and precise.
Multitasks and works efficiently.
Stays calm in a fast-paced, high-volume environment.
One year of experience in a pharmacy technician role

Responsibilities

Initiate prior authorizations and communicates 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 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.