Pharmacy Regulatory & Compliance Clinical Technician

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Job Profile Summary
Responsible for securing patient data based upon comprehensive data elements, financial education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third party claims management. Interviews patient for clinical, financial, and history information and arranges appropriate clinical care. A Clinical Pharmacy Technician will work independently gathering and submitted patient information with oversight of a pharmacist as needed. They will be responsible for performing pharmacy related functions in compliance with departmental policies and procedures that provide optimal pharmaceutical care.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school diploma or Equivalent.  

2. Must possess current licensure as required by state board where services will be provided:  

MD: Pharmacy Technician Student Permit or Pharmacy Technician License through Maryland Board of Pharmacy  

OH: Pharmacy Technician Trainee License or Certified or Registered Pharmacy Technician License through Ohio Board of Pharmacy  

PA: Pharmacy Technician Trainee or Pharmacy Technician License through the Pennsylvania Board of Pharmacy  

WV: Pharmacy Technician Trainee or Pharmacy Technician License through West Virginia Board of Pharmacy  

3. Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) OR If applicant has two (2) or more years of pharmacy specific experience, must be obtained within 15 months of hire.  

  
PREFERRED QUALIFICATIONS:  

EDUCATION, CERTIFICATION, AND/OR LICENSURE:  

1. Associates degree OR Post high school education in a science field of study OR graduate of a pharmacy technician training program.  

2. Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA)  upon hire.  

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

 

1. Drafts various correspondence letters and sends to referral source when necessary.

2. Gathers and documents patient demographics, insurance information, needs assessment, patient history, and other data as needed.

3. Initiates refill/follow up calls and schedules delivery as needed

4. Provides information and answers to patient/caregiver questions and refers to clinician when appropriate or requested.

5. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.

6. Contacts insurance company or employer to determine e