Family Support Specialist Jobs

About The Position

Requirements

• Must be 18 years of age or older.
• High school diploma or equivalent.
• Registration (Registered/Certified) with the Ohio State Board of Pharmacy required.
• Previous pharmacy experience required.
• Ability to accurately enter data, preferably typing at a minimum of 45 wpm.
• Ability to accurately input prescriptions and/or other information as dictated by the pharmacist.
• Has the ability to diffuse and handle difficult situations by using good judgment, control of emotion and diplomacy.
• Demonstrates grammatically correct verbal and written communication skills.
• Demonstrates efficient and courteous telephone skills.
• Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment.
• Ability to work in a team setting and/or with minimal supervision.

Nice To Haves

• National certification from an accredited pharmacy technician certification program (PTCB, ExCPT, etc.), preferred.
• Knowledge of the 340B program preferred.
• Previous experience processing prior authorization preferred.
• Previous experience with Epic or PioneerRx preferred.
• Understanding of laws and regulations impacting the medication dispensing process preferred.
• Prefer an understanding of third-party payer benefits, the requirements and troubleshooting rejected claims.

Responsibilities

• Work with internal and external pharmacies, CoverMyMeds (CMM), the EHR (Epic) and Heart of Ohio Family Health Clinicians to complete prior authorizations.
• Maintain excellent oral and written communication with Clinicians and through the EHR as it relates to the status of prior authorizations and all required 340B documentation.
• Maintain open lines of communication between providers, pharmacies, and patients as it relates to the status of prior authorizations.
• Complete prior authorizations within established time frame.
• Ensure proper documentation is maintained within the EHR.
• Work with clinical pharmacist team to provide potential therapeutic substitutions to prescribers.
• Work directly the 340B Analyst to provide support to the 340B program.
• Maintain 340B compliance, program integrity and financial optimization for all participating covered entities.
• Complete, validate and document completed audits related to 340B program compliance.
• Ensure compliance with HOFH 340B policies and procedures.
• Establish and maintain excellent relations with individuals, committees, and other stakeholders in the 340B program.
• Assists with ensuring HRSA requirements for the program are met.
• Continuously works to improve the 340B program performance through surveillance and program optimizations.
• Responsible for immediate communication and escalation of 340B compliance related issues or operational gaps.
• Creates and maintains reports of 340B program metrics as established by the organization.
• Works with third party administrators (TPA) to maintain the HOFH contract pharmacy network.
• Participates in 340B oversight sub-committees established by HOFH to ensure program integrity.
• Provides education to covered entity staff members.
• Support of pharmacy services by assembling and dispensing medications in an efficient, accurate and patient-centered manner.
• Process prescriptions via paper and electronic prescription formats.
• Adjudication of prescriptions through insurance while being conscious of out-of-pocket costs and exploring ways to provide patients with medications at the lowest possible cost.
• Respond to requests from providers and patients via phone, computer, and face-to-face interactions.
• Assisting in the maintenance of records in accordance with company policy and state/federal law.
• Inventory management which includes, but not limited to, annual controlled substance inventory and daily maintenance of in-stock medications and supplies.
• Non-sterile compounding.
• Maintenance of active registration throughout employment with the Ohio State Board of Pharmacy is required.
• Attention to detail, analytical skills, admirable customer service and dependability is a must.
• A positive attitude with a passion for providing high-quality, holistic, and compassionate care to every patient every time.
• A willingness to continuously grow, learn and accept different cultures in an environment surrounded by great diversity.
• Maintain compliance with Ohio State Board of Pharmacy licensing requirements and Heart of Ohio Health Relias training (and others as necessary).
• Provide requested data to leadership, when needed.
• Provides additional pharmacy administrative support.