Job Summary:
Performs pharmacy technician duties within the Specialty Pharmacy department under the direct supervision of a registered pharmacist. The Specialty Pharmacy Technician supports the full medication-use cycle for specialty patients, including patient intake, insurance navigation and billing, prescription processing, order fulfillment, and shipping/distribution of refrigerated and non-refrigerated medications. The technician provides excellent customer service to patients, caregivers, and provider offices; assists patients in identifying and accessing copayment and financial assistance resources; and maintains accurate, up-to-date patient records within the pharmacy's computerized system. The technician collaborates closely with pharmacists, prescriber offices, and payers to resolve patient-specific issues, and works in accordance with departmental policy, accreditation standards (e.g., URAC), and applicable local, state, and federal law to ensure timely, accurate, and high-quality care for specialty pharmacy patients.
Job Duties:
- Prepare medication orders for final review by a pharmacist
- Navigates insurance plans and accurately bills the appropriate insurance, including coordination of benefits for patients with more than one payer, understanding overrides and codes, and performing manual billing as needed.
- Stays informed on current availability of, and assists patients with, copayment assistance methods, including copayment cards or programs, foundation support, and grant support.
- Collaborates with prescriber offices to resolve patient-specific issues, including prior authorizations, missing information, and clinical clarifications.
- Works under the supervision of a registered pharmacist while staying current with local, state, and federal pharmacy laws and regulations.
- Responsible for the proper and accurate filling of each individual order
- Maintain and keep reasonable production as determined by supervisor
- Prepare refrigerated and non-refrigerated shipments for UPS and FedEx daily
- Assist in preparation of packaging for shipments
- Check in orders and ensure appropriate stocking levels in pharmacy
- Maintain a professional and clean appearance in pharmacy always
- May assist in orienting and training new employees
- Consistently and fully participates in departmental quality assurance and quality improvement processes, including URAC and other accreditation requirements.
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
Qualifications
Travel:
- The job may require travel from time- to-time, but not on a regular basis
- Position is hybrid - 12 Rhoads Drive, Utica, NY
Educational Requirements:
- Minimum: High School Diploma or GED
- Preferred: Pharmacy Technician or related certification
Experience:
- Experience in a customer service related field
- 3-6 months’ experience as a pharmacy technician