Specialty Pharmacy Patient Advocate

Banner Health

2d•Onsite

About The Position

Innovation and highly trained staff. Our Pharmacy team members play a critical role in ensuring the best care for our patients. Join a nationally recognized leader that values excellence and begin making a difference in people’s lives. Apply today! This Specialty Pharmacy Patient Advocate will be hired into the newly formed Pharmacy Shared Services. Our Specialty Pharmacy Patient Advocates will support Banner Family Pharmacy - Specialty Care. This Department is responsible for providing direct patient care to patients and their caregivers by assisting with financial assistance and prior authorizations. As a Specialty Pharmacy Patient Advocate, you will have the opportunity to work in a very rewarding line of work, with a high functioning team that offers opportunity for professional growth and build strong relationships with clinic teams and pharmacy teams. We are looking for a full-time Specialty Pharmacy Patient Advocate to Join our team at Banner Medical Institute Pharmacy located at 1441 N 12th Street in Phoenix, AZ. Our full-time staff work 40 hours per week, Monday-Friday, within the hours of 8am-5pm. No weekends or holidays are currently required in this position. Some flexibility on the hours is required during the week. Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention. As a division, Banner Pharmacy services provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices. POSITION SUMMARY This position will determine, support and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third-party prior authorization and billing processes for pharmacy benefits. Assist patients with enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a face-to-face bedside-oriented service that delivers comprehensive fiscal options to patients and provide medication cost after transplant. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process.

Requirements

Licensed and registered pharmacy technician in the state of practice, where applicable. Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.
Minimum of three years of healthcare and/or insurance/third party reimbursement experience required to include one year of technician experience required.
Strong customer service focus, superior problem-solving abilities required.
Proficiency in Microsoft Word, Excel, network, web-based and payer applications required.
Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required.
Ability to prioritize organization requirements and track progress of multiple initiatives.

Nice To Haves

Completion of a Pharmacy Technician Certification Program.
Associate’s or bachelor’s degree in business, healthcare or related field preferred.
Prior authorization experience in specialty or retail pharmacy preferred.
Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy rules and regulations preferred.
Knowledge and experience utilizing McKesson Enterprise, Cerner and Therigy preferred
Bi-lingual preferred
Additional related education and/or experience preferred.

Responsibilities

Coordinate with stakeholders to remove medication access barriers.
Maintain current knowledge of pharmacy regulations, payer agreements and assistance programs.
Provide timely medication benefit counseling to patients and hospital staff.
Accurate and timely execution of pharmacy projects as required.
Follow policies, procedures and regulatory requirements and perform other work assignments.