Employment Type:
Full timeShift:
Description:
The purpose of this position is to assist the Specialty Medication Pharmacist or their designee, with providing support for patients receiving specialty pharmaceuticals within the Loyola University Health System. Under the supervision of a pharmacist, the technician will be responsible for processing new and refill specialty orders including verifying and re-verifying pharmacy benefits, assisting patients with reimbursement issues, continuous follow-up with the specialty pharmacy, and keeping providers aware of prescription processing.
1. Insurance Authorization: Work closely with the pharmacist and provider
to prepare and obtain insurance prior authorizations for specialty
medications. Pursue appeal for insurance denials when needed.
Maintain continuous communication with specialty pharmacy to update
status of medication order. Perform all documentation needed and
follow-up on problems or issues needing to be resolved.
2. Reimbursement Services: Assist patients with enrollment in financial
assistance programs including third party, manufacturer and locally
funded plans. Follow up with funding programs to confirm patient
eligibility and gather all required reporting and documentation. Contact
patient, pharmacist and provider regarding status of financial assistance
applications and funding available.
3. Communication: Communicate effectively with insurance companies and
internal and external health care providers. Screen, identify and resolve
clinical or processing issues related to specialty medications. Provide
telephone support to patients receiving specialty medications.
Document all patient interactions. Gather relevant patient-specific
information and transmit to specialty pharmacy as directed by the
pharmacist.
4. Quality control: Participate in quality improvement and quality
assurance programs to monitor performance of services as requested
by the Specialty Medication Pharmacist.
5. Off-campus services: Assist off-campus LUHS providers and
pharmacists with processing and access to specialty medications. This
shall include prior authorizations, denial appeals, financial assistance
and communication with specialty pharmacy.
Position Requirements:
Minimum Education:
Required: High School Diploma plus training acquired through work experience or education
Preferred: Associates Degree OR equivalent training acquired via work experience or education
Specify Degree(s): Pharmacy Technician
Minimum Experience:
Required: 1-2 years of previous job-related experience
Preferred: 3-5 years of previous job-related experience
Details: Retail pharmacy technician; experience with adjudicating prescription drugs, corresponding with insurance companies and processing payments, STRONGLY preferred. Familiarity with specialty pharmacy products and operations preferred.
Licensure/Certifications:
Required: Certified Pharmacy Technician (CPhT)
Preferred: N/A
Other:
Exception: Certification required within six months if two or more years' Specialty Pharmacy Tech experience.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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