Specialty Pharmacy Technician - as needed
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, Pharmacy Technician Training Program or equivalent (Preferred) or Program Graduate, Licensed Practical Nurse (Required) or Program Graduate, Certified Medical Assistant (Required)
- 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.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
