Specialty Pharmacy Technician

Riverside Hospital•Newport News, VA

21d

About The Position

A Specialty Medication Coordinator is responsible for performing tasks related to the management of third-party billing or patient financial assistance for patients within the health system. A Specialty Medication Coordinator assists with managing and processing high dollar specialty medications (e.g. oncology, infectious disease, multiple sclerosis) and may be responsible for benefits investigation, obtaining prior authorizations, copay/foundation assistance, drug replacement services, and patient financial counseling. Additional activities may include patient onboarding, order entry, financial tracking, patient care coordination, medication ordering/tracking, cold chain distribution and shipping activities.

Requirements

Program Graduate, Licensed Practical Nurse (Required)
Program Graduate, Certified Medical Assistant (Required)
Program Graduate, Pharmacy Technician Training Program or equivalent (Preferred)
3-4 years Experience as a Pharmacy Technician, LPN or CMA (in lieu of education) (Required)
Registered Pharmacy Technician - Virginia Department of Health Professions (VDHP) Upon Hire(Required)
Pharmacy Technician Certification Board (PTCB) - Pharmacy Technician Certification Board (PTCB) PTCB or ExCPT Upon Hire(Required)
Licensed Practical Nurse (LPN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required)
Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) Upon Hire(Required)
Familiar with medical and pharmacy terminology
Prescription drug and over-the-counter knowledge
Basic math skills, including pharmaceutical calculations
Basic pharmacy workflow
Understanding pharmacy computer systems
Ability to navigate and read electronic health record
Strong written and verbal communication skills
Ability to prioritize, problem solve and multitask
Excellent customer service skills
Knowledge of patient assistance programs
Experience with prior authorization of medications
Strong organizational skills and detail oriented

Nice To Haves

1 year Experience obtaining and managing medication prior authorization as part of job function (Preferred)
1 year Prior Experience obtaining and managing patient assistance program applications (Preferred)
Advanced certification in specialty pharmacy field (PTCB, ASHP, NCODA and other approved programs) (Preferred)

Responsibilities

Timely process of referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes.
Collaborate with other departments to assist in obtaining prior authorizations, patient assistance medications or financial assistance.
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.
Follows prior authorization and/or patient assistance workflows and policies/procedures.
Demonstrates the ability to work independently, meet deadlines and possesses excellent time management skills.
Perform tasks accurately and efficiently.
Possesses excellent interpersonal, customer service and communication skills (both written and verbal); timely responses to key stakeholders.
Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure/workflow.
Completes timely documentation within the required tracking systems and retrieves necessary documentation and maintains up to date knowledge of the pharmaceutical companies’ patient assistance programs.
Proactively tracks and manages patient refills/outreach to ensure timely prescription/infusion service.
Proactively works on prior authorization and patient assistance enrollments that are due to expire.
Secure patients’ demographic and medical information in compliance with organization HIPAA policies and procedures.
Assists management with inspections, audits, reports and training to ensure compliance with standards and to provide quality service.