Certified Pharmacy Technician (FT)
About The Position
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. Amber Specialty Pharmacy is a wholly owned subsidiary of Hy-Vee, Inc., headquartered in Omaha and serving patients nationwide. We specialize in managing rare and chronic conditions, in categories like organ transplant, oncology, and more. With unwavering dedication, we provide comprehensive clinical support and patient management, ensuring each individual's unique needs are met. We uphold a tradition of respect and dignity for both patients and employees alike. Our passionate team delivers specialized care with honesty and compassion, making a positive impact on the lives we touch.
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
- 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.
- Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.
- Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).
Nice To Haves
- Medical Billing Experience 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
Benefits
- Six paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
