Technician-Specialty Pharmacy
This position is focused on providing exceptional care to patients, working closely 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 supervisor
Specifications:
Experience Description:
Minimum Required: 5 years experience in outpatient pharmacy or clinic setting
Preferred/Desired:
Education Description:
Minimum Required
Preferred/Desired:
Training Description:
Minimum Required
Preferred/Desired:
Special Skills Description:
Minimum Required
Preferred/Desired:
Licensure Description:
Minimum Required: Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT)
Preferred/Desired:
Reporting Relationships:
Does 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: No
Work Environment Functional Demands:
Label: Sedentary
Short Description: Very light energy level
Lift 10lbs. box overhead. Lift and carry 15lbs.
Push/pull 20lbs. cart
Physical Activity Requirements:
Sitting: Occasional
Standing: Occasional
Walking: Occasional
Climbing (e.g., stairs or ladders): Occasional
Carry objects: Occasional
Push/Pull: Occasional
Twisting: Occasional
Bending: Occasional
Reaching Forward: Occasional
Reaching Overhead: Occasional
Squat/Kneel/Crawl: Occasional
Wrist position deviation: Occasional
Pinching/fine motor activities: Occasional
Keyboard use/repetitive motion: Occasional
Sensory Requirements:
Color Discrimination: Yes
Near Vision: Accurate
Far Vision: Accurate
Depth Perception: Minimal
Hearing: Minimal
Environmental Requirements:
Blood-Borne Pathogens: Anticipated
Chemical: Anticipated
Airborne Communicable Diseases: Anticipated
Extreme Temperatures: Anticipated
Radiation: Anticipated
Uneven Surfaces or Elevations: Anticipated
Extreme Noise Levels: Anticipated
Dust/Particular Matter: Anticipated
Other
REQNUMBER: 33930