Pharmacy Technician – Medical Billing Exp. Preferred

Hy-Vee, Inc.•Omaha, NE

4d•$21 - $24•Onsite

About The Position

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions. Seeking to hire a Certified Pharmacy Technician. Medical Billing Experience Preferred. Monday-Friday (no weekends) Hours: 8 a.m. - 5 p.m. CST Wages: Hourly $21.00 to $24.00 Six paid holidays Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements. Amber Specialty Pharmacy Job Title: Specialty Pharmacy Program Liaison Department: Operations FLSA: Non-Exempt General Functions The Specialty Pharmacy Program Liaison serves as the primary point of contact for internal and external communication between the Company, pharmaceutical manufacturers and HUB service provider regarding program details, requests for information regarding product, case status updates, next steps in processing, and communication of reimbursement or coverage issues. This is a customer-facing role with the expectation to handle first line customer resolutions. Reporting Relations Reports to: Program Management Lead Direct Reports: None Primary Responsibilities: Acts as a liaison between specialty pharmacy, patients, insurance companies, Pharma manufacturer and providers offices via phone, fax, online and e-mail communications Will be primary point of contact for client inquiries and escalations Resolves customer issues, ensuring timely and accurate information is provided. Determines cases that are falling outside timing parameters and provides resolutions Collaborates with Patient Care department, Pharmacy Operations and Trade Relations to ensure customer requests are handled in a timely and accurate manner. Works with other departments throughout prescription fulfillment Collaborates with Patient Care/COE teams, Clinical staff, Fulfillment Pharmacy, Trade Relations, Billing/Adjudication, Contracting, and Sales to provide a team approach to onboarding new patients Contacts provider or patient to obtain accurate information to continue processing the prescription Triages and resolves issues or concerns relating to product prescription coverage to the appropriate team (i.e. prior authorizations, appeals, grant funding, clinical) Works with the pharmacist and/or nurse to contact providers and insurance companies to verify prescriptions, overrides and other approvals Participates with Trade Relations in relevant Quarterly Business Reviews (QBRs) as needed Builds rapport with internal and external customers to promote the highest customer service and positive image of the company Provides data updates and ad hoc reports to manufacturers and HUBs as requested Interprets and disseminates information, including key information about updates or changes in the assigned product and/or program details Assists in the development of programs for data collection, adverse event reporting, and adherence as related to contractual agreements Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Policy and Procedure manual This is an office based position Professional Competencies: A passion for helping patients. Organized, high-integrity, attention to detail, ability to multi-task and work independently, dependable, quality focused, empathetic, good listener/communicator, able to effectively transfer knowledge to others. Energetic, outgoing, highly motivated team player. Proficient with MS Excel, Word, and Outlook. Ability to comprehend and apply principles of basic math while analyzing data and generating reports. Ability to apply principles of logical thinking to a wide range of intellectual and practical problems. Strong oral, written and interpersonal skills. Ability to effectively educate, train and present information and respond to questions from groups of coworkers, managers, clients and customers. Excellent customer service with the ability to work with all levels of internal management and staff, as well as outside clients and vendors.

Requirements

Experienced pharmacy technician with national CPhT certification.
At least 3 years of prior pharmacy technician experience is preferred
Working knowledge of specialty pharmacy; demonstrated understanding of specified disease state(s), competitors, healthcare industry trends, etc.
Experience with insurance verification, healthcare benefit assessment, paperwork and documentation for billing Medicare/Medicaid and commercial insurances preferred
HIPAA trained and /or the ability to work with and protect extremely confidential patient and employee information
Two years of experience in a physician’s office, healthcare setting and/or insurance background preferred
Ability to travel as needed
Current unrestricted state pharmacy technician registration/licensure.
National or state pharmacy technician certification per applicable State Board of Pharmacy requirements.
Must be able to remain in a stationary position up to 90% of the time
The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events.
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.
The ability to communicate information and ideas so others will understand.
Must be able to exchange accurate information in these situations.
The ability to observe details at close range (within a few feet of the observer).

Nice To Haves

Medical Billing Experience Preferred.
Bachelor’s degree in a related field preferred

Responsibilities

Acts as a liaison between specialty pharmacy, patients, insurance companies, Pharma manufacturer and providers offices via phone, fax, online and e-mail communications
Will be primary point of contact for client inquiries and escalations
Resolves customer issues, ensuring timely and accurate information is provided.
Determines cases that are falling outside timing parameters and provides resolutions
Collaborates with Patient Care department, Pharmacy Operations and Trade Relations to ensure customer requests are handled in a timely and accurate manner.
Works with other departments throughout prescription fulfillment
Collaborates with Patient Care/COE teams, Clinical staff, Fulfillment Pharmacy, Trade Relations, Billing/Adjudication, Contracting, and Sales to provide a team approach to onboarding new patients
Contacts provider or patient to obtain accurate information to continue processing the prescription
Triages and resolves issues or concerns relating to product prescription coverage to the appropriate team (i.e. prior authorizations, appeals, grant funding, clinical)
Works with the pharmacist and/or nurse to contact providers and insurance companies to verify prescriptions, overrides and other approvals
Participates with Trade Relations in relevant Quarterly Business Reviews (QBRs) as needed
Builds rapport with internal and external customers to promote the highest customer service and positive image of the company
Provides data updates and ad hoc reports to manufacturers and HUBs as requested
Interprets and disseminates information, including key information about updates or changes in the assigned product and/or program details
Assists in the development of programs for data collection, adverse event reporting, and adherence as related to contractual agreements
Adheres to all company policies as indicated in the handbook and directives issued by management.
Has reviewed Policy and Procedure manual