Specialty Pharmacy Representative

Allina Health

1d • $25 - $34 • Onsite

About The Position

Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: 1.0 FTE (80 hours per two-week pay period) 8-hour day shifts Occasional weekends Job Description: Provides excellent customer service in a fast paced environment. Coordinates patient intake, coverage determination, payment coordination, and delivery methods to ensure seamless patient care for those obtaining specialty medications. Principle Responsibilities Performs customer service. Manages large call volumes. Assists patients with any non-clinical questions and/or concerns. Supports patient intake, accurately enters patient demographics, history and order information into the practice management system(s). Completes referrals to specialty providers, home health, etc., where needed. Arranges for the proper delivery of the medication when needed. Processes insurance. Verifies insurance eligibility and benefits and records the information in Excellian. Supports providers and payers to expedite prior authorizations and/or formulary exceptions when needed. Helps facilitate financial support and prescription assistance for patients. Ensures Compliance Tracks patients and medication utilization. May participate in accreditation maintenance and monitoring of defined metrics. May participate in safety and quality program. Other duties as assigned.

Requirements

• Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description
• 0 to 2 years of experience as a Pharmacy Technician
• Registered Pharmacy Technician - MN Board of Pharmacy required upon hire
• Certified Pharmacy Technician - Pharmacy Technician Certification Board required within 180 Days

Nice To Haves

• Vocational or Technical Training from an American Society of Health-System Pharmacists (ASHP) accredited pharmacy technician training program
• 2 to 5 years of experience with advanced knowledge of insurance processing, prior authorizations and formulary resolutions

Responsibilities

• Performs customer service.
• Manages large call volumes.
• Assists patients with any non-clinical questions and/or concerns.
• Supports patient intake, accurately enters patient demographics, history and order information into the practice management system(s).
• Completes referrals to specialty providers, home health, etc., where needed.
• Arranges for the proper delivery of the medication when needed.
• Processes insurance.
• Verifies insurance eligibility and benefits and records the information in Excellian.
• Supports providers and payers to expedite prior authorizations and/or formulary exceptions when needed.
• Helps facilitate financial support and prescription assistance for patients.
• Tracks patients and medication utilization.
• May participate in accreditation maintenance and monitoring of defined metrics.
• May participate in safety and quality program.
• Other duties as assigned.

Benefits

• Medical/Dental
• PTO/Time Away
• Retirement Savings Plans
• Life Insurance
• Short-term/Long-term Disability
• Voluntary Benefits (vision, legal, critical illness)
• Tuition Reimbursement or Continuing Medical Education as applicable
• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed