Specialty Pharmacy Technician

Full-Time, Days
Pay range: $26.95 - $33.69

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                       Specialty Pharmacy Technician

REPORTS TO POSITION:         Specialty Pharmacy Manager

DEPARTMENT:                         Pharmacy

DATE LAST REVIEWED:          April 2024

OUR VISION:                            Creating America’s healthiest community, together

OUR MISSION:                         In the spirit of love and compassion, better health, better care, better value

OUR VALUES:                          Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The St. Charles Health System Pharmacy provides a broad range of hospital and outpatient pharmaceutical care services to deliver high quality, effective, safe, reliable, and affordable medication therapy for our patients. 

POSITION OVERVIEW: The Specialty Pharmacy Technician is responsible for actively and successfully navigating patient prescriptions, which may include, but not be limited to submitting prior authorizations, supporting providers by assisting with benefits investigation, submitting appeals, exploring patient medication assistance options, coordinating fulfillment of orders with dispensing pharmacy, and identifying/resolving barriers on behalf of the interdisciplinary care teams. This position does not directly manage other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Financial Assistance & Prior Authorization

Performs insurance eligibility and verification of pharmacy benefits.

Supports the specialty / ambulatory pharmacist in communicating with patients, healthcare providers, and insurance companies to request prior authorizations.

Coordinates financial assistance, including co-pay assistance through grants and foundations, and manufacture assistance program enrollment and coordination.

Collects and reports data for financial assistance and other metrics.

Updates patient and claim documentation; performs daily billings, audits accounts for accurate submissions claims, and makes sure patient treatment reimbursements are processed effectively.

Patient Management & Adherence

Manages patients schedules for initial and follow-up visits with the Specialty / Ambulatory Pharmacist.

Enrolls patients into the Pharmacy Patient Management Program as appropriate.

Manages prescription renewals.

Prescription Procurement & Fulfillment

Coordinates fulfillment of specialty and/or complex medication prescription orders, including:

Scheduling medication delivery with patients for initial and refill prescriptions Performing introductory and refill outreach calls with patients enrolled in the patient management program. Referring all patients to clinical pharmacist as appropriate

Communicates effectively with the patient and clinical staff as needed for management of new orders and coordination of timely / appropriate refills.

Monitors inventory to maintain appropriate stock of medications and supplies.

Performs medication dispensing duties and other activities with scope of practice and is supervised by a pharmacist.

Performs data collection, tracks metrics, and updates key performance indicators (KPIs).

Confirms reimbursement, payment, and billing for medications dispensed by the pharmacy.

All St. Charles Caregivers

Supports the vision, mission, and values of the organization in all respects.

Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients, and guests.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION:

                   

Required: High school diploma or GED