Referral Resource Specialist - Pharmacy Technician

Ardon•Portland, OR

About The Position

Ardon Health is seeking a Referral Resource Specialist to join its specialty pharmacy team in Portland, Oregon. The role provides patient service and supports referral-management processes, including prescription processing, insurance and benefit investigation, and communication between pharmacists, patients, providers, physician offices, and clinics. The specialist manages queues for prescription clarifications, prior authorizations, and refill or prescription requests, and helps resolve workflow issues while supporting patient therapy and refill compliance. The position also contributes to quality improvement activities and requires maintaining an active Oregon Certified Pharmacy Technician license.

Requirements

Successfully meet all primary functions of Patient Care Advocate I and II positions.
At least 2 years of work experience in a pharmacy setting, including 1 year in specialty pharmacy.
High school diploma or GED equivalent.
Type at least 35 words per minute and pass a typing test.
Active Oregon Certified Pharmacy Technician license.
Demonstrated ability to multitask and troubleshoot and resolve prescription-operations issues.
Excellent verbal, written, and interpersonal communication skills.
Demonstrated proficiency with computer applications.
Ability to work in a fast-paced environment, independently and as part of a team.
Ability to arrive at work on time daily.
Ability to shift direction as business needs change while remaining focused.
Innovative, solution-oriented approach and commitment to best practices.
Teamwork and a positive outlook.

Nice To Haves

Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connections.
Prior experience working with physicians, nurses, or other healthcare professionals.
Strong communication and interpersonal skills and ability to collaborate effectively in a team.
Proficiency with standard workplace software or information-management applications.
Prior experience in a pharmacy or healthcare setting.
Ability to navigate computer applications and work in a fast-paced environment.

Responsibilities

Act as a liaison between Ardon Health, patients, and physician offices.
Support supervisors with queue workloads and troubleshoot application and workflow issues.
Manage patient outreach for new prescriptions, transfers, and refill requests.
Conduct prescription clarification outreach and provide inbound provider phone support.
Manage data entry and prescription outreach for onboarding patient populations.
Respond to email requests and resolve issues or route them to another department.
Assist pharmacists with prescription processing, patient needs, intervention reporting, discontinuations, lost-to-follow-up outcomes, and patient discharges.
Refer medication- or illness-related questions and concerns to a board-licensed healthcare professional, including nurses, pharmacists, or supervised pharmacy interns.
Support insurance and pharmacy teams as business needs arise.
Document incoming and outgoing patient calls.
Communicate delays, issues, requests, and patient status to patients, providers, physician offices, and clinics.
Manage Speed to Therapy reporting.
Serve as a subject matter expert on pharmacy practices and help resolve workflow issues.
Maintain patient confidentiality and use operating systems and tools to support therapy and refill compliance.
Maintain an active Oregon license and promptly report specified legal, conduct, residence, or employment changes to the supervisor and Oregon Board of Pharmacy as required.
Support leadership and quality-program staff with quality management and improvement activities, including measurement, monitoring, evaluation, and Quality Improvement Projects.
Follow company policies, the Employee Handbook, Code of Conduct, department procedures, confidentiality requirements, punctuality expectations, and safety practices.
Perform other duties and responsibilities as assigned.
Assign incoming documents and create or update patient files.
Enter program-specific data for manufacturer, payer, and clinical programs.
Load insurance information and perform and review test claim submissions and reversals.
Conduct prior authorization lookups and enter approval data.
Perform prescription data entry and process prescriber refill requests.