Technician-Specialty Pharmacy

Job DescriptionTechnician-Specialty Pharmacy Job Code: 22773 FLSA StatusJob Family: PHARMACYJob Description Title: Technician-Specialty PharmacyJob SummaryThis position is focused on providing exceptional care to patients, working closing with providers and leveraging various resources to ensure patients are getting the most out of their specialty pharmacy services. The Pharmacy Technician - Specialty Pharmacy is responsible for dispensing and packing pharmaceuticals for BSP patients under the supervision of a licensed pharmacist and in accordance with dispensing regulations and established guidelines. This team member is also responsible for supporting pharmacists to manage prior authorizations and assist patients to obtain financial assistance for their prescriptions. The individual in this position supports the BSP Director, BSP Pharmacy Staff and Clinical Pharmacists to ensure that all duties as assigned are fulfilled accordingly.Job Responsibilities Conducts the benefits investigation process, including coordination with payers to investigate and verify terms of patient coverage and out-of-pocket costs Provide timely and accurate information regarding coverage and cost to patients and BSP team members Initiate and manage prior authorization process for new specialty prescriptions and prospectively track expiring authorizations, obtaining renewals as needed to prevent gaps in treatment Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs Understand The Centers for Medicare & Medicaid Services (CMS) regulations and billing guidelines and complete required training pursuant to BSP policies and procedures (e.g., fraud, waste, and abuse training) Answer insurance and billing questions and provide feedback to management regarding contracting opportunities and process improvements Obtain all necessary paperwork and financial information needed for patients seeking financial assistance Conduct research on all available sources of funding and resources available for each particular BSP patient scenario Responsible for daily billing operations, such as submission of claims (electronic and paper), patient statements, follow-up and resolution of nonpayment, denials, and prior authorization requests Work timely to resolve urgent requests from patients, caregivers, and medical/nursing staff Process new and refill prescriptions accurately, through the proper use of equipment and techniques, based on BSP policies and procedures for prescription entry and dispensing Provide superb customer service when communicating with patients and when communicating with medical/nursing staff to obtain key information needed to allow for dispensation of medication Monitor required areas for outdates, cleanliness, organization, and drug/supply stock levels Maintain, purchase and organize inventory supply in a manner which minimizes inventory storage cost, wastage, and stock-outs Ensure inventory is rotated properly, stored in appropriate conditions and location with 100% accuracy Prepare medication in a manner that minimizes cost due to wastage Participate in departmental process or quality improvement initiatives. Understand and maintain all federal and state regulations and policies and procedures applicable to HIPAA practices and patient confidentiality Document all activity and communication within designated documentation system Interact with patients over the phone to coordinate prescription refill(s), specialty prescription deliveries, maintain updated billing information and patient address Complete special projects as assigned by supervisorSpecificationsExperienceDescriptionMinimum Required: 5 years experience in outpatient pharmacy or clinic settingPreferred/DesiredEducationDescription Minimum Required Preferred/DesiredTrainingDescription Minimum Required Preferred/DesiredSpecial SkillsDescription Minimum Required Preferred/DesiredLicensureDescription Minimum Required: Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT) Preferred/DesiredReporting RelationshipsDoes this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.Reporting Relationships: NoWork EnvironmentFunctional DemandsLabel Short Description Full DescriptionSedentary Very light energy level Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cartLight Moderate energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher)Medium High energy level Lift and carry 40-50lbs. Push/pull +/- 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient)Heavy Very high energy level Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer. Functional Demands Rating: SedentaryActivity Level Throughout WorkdayPhysical Activity Requirements - Sitting: OccasionalPhysical Activity Requirements - Standing: OccasionalPhysical Activity Requirements - Walking: OccasionalPhysical Activity Requirements - Climbing (e.g., stairs or ladders): OccasionalPhysical Activity Requirements - Carry objects: OccasionalPhysical Activity Requirements - Push/Pull: OccasionalPhysical Activity Requirements - Twisting: OccasionalPhysical Activity Requirements - Bending: OccasionalPhysical Activity Requirements - Reaching Forward: OccasionalPhysical Activity Requirements - Reaching Overhead: OccasionalPhysical Activity Requirements - Squat/Kneel/Crawl: OccasionalPhysical Activity Requirements - Wrist position deviation: OccasionalPhysical Activity Requirements - Pinching/fine motor activities: OccasionalPhysical Activity Requirements - Keyboard use/repetitive motion: OccasionalPhysical Activity Requirements - Taste or smellPhysical Activity Requirements - Talk or hear: ContinuousSensory RequirementsColor Discrimination : YesNear Vision: Accurate Far Vision: Accurate Depth Perception: MinimalHearing: MinimalEnvironmental Requirements - Blood-Borne Pathogens: AnticipatedEnvironmental Requirements - Chemical: AnticipatedEnvironmental Requirements - Airborne Communicable Diseases: AnticipatedEnvironmental Requirements - Extreme Temperatures: AnticipatedEnvironmental Requirements - Radiation: AnticipatedEnvironmental Requirements - Uneven Surfaces or Elevations: AnticipatedEnvironmental Requirements - Extreme Noise Levels: AnticipatedEnvironmental Requirements - Dust/Particular Matter: AnticipatedEnvironmental Requirements - Other