Pharmacy Technician Specialty
About The Position
A Specialty Medication Coordinator manages tasks related to third-party billing and patient financial assistance for health-system patients. The role supports the management and processing of high-cost specialty medications, such as medications for oncology, infectious disease, and multiple sclerosis. Activities may include benefits investigations, prior authorizations, copay and foundation assistance, drug replacement services, and patient financial counseling. Additional duties may include patient onboarding, order entry, financial tracking, patient care coordination, medication ordering and tracking, and cold-chain distribution and shipping.
Requirements
- Graduate of a Pharmacy Technician Training Program or equivalent; preferred.
- Graduate of a Licensed Practical Nurse program; required, or graduate of a Certified Medical Assistant program; required.
- Three to four years of experience as a Pharmacy Technician, LPN, or CMA may substitute for education; required.
- Virginia Department of Health Professions Registered Pharmacy Technician credential upon hire; required for the pharmacy technician path.
- PTCB certification or ExCPT upon hire; required for the pharmacy technician path.
- Virginia Department of Health Professions LPN credential upon hire; required for the LPN path, or AAMA CMA credential upon hire; required for the CMA path.
- Familiarity with medical and pharmacy terminology, prescription and over-the-counter medications, basic pharmaceutical calculations, and pharmacy workflow.
- Understanding of pharmacy computer systems and ability to navigate and read electronic health records.
- Strong written and verbal communication, customer service, organization, and attention to detail.
- Ability to prioritize, problem-solve, and multitask.
- Knowledge of patient assistance programs and experience with medication prior authorizations.
Nice To Haves
- One year of experience obtaining and managing medication prior authorizations as part of a job function.
- One year of experience obtaining and managing patient assistance program applications.
- Advanced certification in a specialty pharmacy field through PTCB, ASHP, NCODA, or another approved program.
Responsibilities
- Process referrals promptly and submit clinical supporting documentation to insurers, manufacturers, or foundations to expedite prior authorizations and patient assistance.
- Collaborate with other departments to obtain prior authorizations, patient assistance medications, or financial assistance.
- Assist with medical-necessity documentation and follow up to expedite approvals.
- Follow prior authorization and patient assistance workflows, policies, and procedures.
- Work independently, meet deadlines, manage time effectively, and complete tasks accurately and efficiently.
- Communicate effectively with stakeholders and respond to them promptly.
- Document intake referrals and prior authorization information accurately in the patient medical record or patient assistance tracking software, in accordance with policies and workflows.
- Complete documentation in required tracking systems, retrieve necessary documentation, and maintain current knowledge of pharmaceutical companies’ patient assistance programs.
- Proactively track patient refills and conduct outreach to support timely prescription or infusion services.
- Proactively manage prior authorizations and patient assistance enrollments that are due to expire.
- Protect patients’ demographic and medical information in compliance with organizational HIPAA policies and procedures.
- Assist management with inspections, audits, reports, and training to support compliance and quality service.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
