Pharmacy Technician I Atrium Health Specialty Pharmacy Service FT
Advocate Aurora HealthAbout the role
Department:
38498 Retail Pharmacy - Specialty Drug ManagementStatus:
Full timeBenefits Eligible:
YesHours Per Week:
40Schedule Details/Additional Information:
The Specialty Pharmacy Technician is responsible for receiving and/or processing prescriptions specifically related to specialty medications for various disease states, addressing and resolving rejected claims, conducting and completing necessary third party (insurance) specialty prior authorization requests. The advanced role that performs duties of in coordinating and managing all aspects related to insurance benefit information, authorization and billing. Interacts with pharmacists, medical/clinical staff, fiscal personnel, department managers, access services staff, coding staff, billing assistants, interdisciplinary caregivers, and patients.
The Specialty Pharmacy Technician is expected to maintain a general knowledge of all the disease categories adopted by Specialty Pharmacy Management.
Monday to Friday 8:30 to 5 PM
Pay Range
$24.10 - $36.15Major Responsibilities:
- Completes area-specific work as outlined by standard processes, procedures and adherent to policies
- Serves as an expert with equipment and technology in specialized area
- Problem solves technical issues in the specialized area as they arise
- Ensures documents and records are accurate and completed in a timely fashion
- Supports methods of communication and coordination with patients and care team
- Identifies quality improvement opportunities based on specialized skill set to ensure safe, effective, and efficient services and patient care
- Provides input to and supports implementation of operational changes, advancements, and site and system standardization
- Participates in site or system specialized work teams, committees, and councils, as applicable
- Complies with legal, regulatory, and accreditation standards
- Keeps current with changes in the specialized field and collaborates with department leadership to adopt best practices
- Maintains updated knowledge and skills and contributes to the education of others
- Contributes positively to execution of pharmacy department initiatives
- Accepts assignments of tasks from other pharmacy teammate roles when workload dictates
Licensure, Registration, and/or Certification Required:
- Registration/Licensure with state board of pharmacy per state of employment requirements
- Certification through Pharmacy Technician Certification Board (CPhT) or National Health Career Association (ExCPT)
Education Required:
- High school diploma or GED equivalent
Experience Required:
- Typically requires 1-3 years of experience in health care, insurance industry, pharmacy, or medical background. At least 2 years of retail pharmacy experience preferred; general knowledge around insurance trouble shooting, prior authorizations, and copay assistance. Experience in a high volume / high demand department with great critical thinking skills.
Knowledge, Skills & Abilities Required:
- Excellent oral, written, interpersonal, and customer service skills
- Must be able to speak and be understood by others to communicate effectively
- Critical thinking and problem-solving skills
- Basic math skills
- Strong background in medical terminology preferred
- Organizational skills and analytical ability to prepare reports and reconcile reports correctly
- Ability to evaluate and measure customer needs – set clear standards to ensure needs are met
- Ability to maintain strict confidentiality
- Self-discipline and attention to detail
- Working PC knowledge including Microsoft Office Suite (Word, Excel and Outlook), Internet, and general Call Center Systems
- Must be able to work well independently and well in a team environment.
Physical Requirements and Working Conditions:
- Must be able to sit, stand, walk, lift, bend, kneel, climb, twist, crawl and reach above shoulders. May require extended periods of sitting.
- Requires considerable walking, standing, pushing mobile cart of approximately 50 pounds and lifting 35 pounds of material.
- Must have functional vision, touch and hearing
- Must be able to speak and be understood by others to communicate effectively
- Utilizes appropriate personal protective equipment (PPE) to perform job duties
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