Northwestern Medicine
Pharmacy Technician Specialist-Specialty Pharmacy Call Center, Full-time Days
Northwestern Medicine, Chicago, Illinois, United States, 60290
Pharmacy Technician Specialist – Specialty Pharmacy Call Center
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient‑first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you’ll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits, from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees.
Job Description The Pharmacy Technician Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Specialty Pharmacy Specific Responsibilities
Identify, research, and resolve issues and consumer complaints
Check incoming prescriptions for completeness of all required information needed for processing
Possess working knowledge of participating third‑party payors and their requirements
Establish and maintain open communication with pharmacy operations analysts regarding third‑party billing issues and centralised procurement team regarding ordering and inventory matters
Assist with prescription audits as needed
Educate pharmacy staff regarding third‑party billing policies and procedures as needed
Answer and triage patient, provider, and third‑party calls to appropriate individuals adhering to phone scripts in a courteous and professional manner
Contact payers for lost medication, replacement, or vacation overrides
Troubleshoot and resolve billing rejections and rebill claims to appropriate carriers for all commercial, federal, and state insurance plans
Verify and accurately update patient demographic information in appropriate system(s)
Document patient’s insurance information in appropriate system(s)
Refer and document any clinical questions regarding prescriptions, drug information, or health conditions requiring follow‑up to a pharmacist
Utilise case management and pharmacy software systems to schedule prescription refills and adjudicate claims
Coordinate prescription orders accurately, including “ready at” date, time, and shipping/delivery method
Perform point‑of‑sale functions
Understand and adhere to drug‑specific REMS requirements and identify what is needed for REMS fulfillment. Complete any REMS forms and authorisations required from the pharmacy. Print drug‑specific medication guides to be dispensed with prescription when needed
Complete prescription return‑to‑stock reports in a timely manner to meet compliance requirements
Access, input, and retrieve information on pharmacy computer system to create labels for prescriptions
Possess thorough understanding of the processes and procedures for shipping patient’s medications and can independently resolve any complications
Spend ≤ 5 % of time on quality management of the program
Support the Northwestern Medicine Ambulatory Pharmacy team to enhance workflow for clinical pharmacy services throughout the network
Provide access to medications for patients by completing prior‑authorization requests, co‑pay assistance programmes, medication assistance programmes, and benefits investigation
Coordinate with third‑party insurance, clinical staff, and patients to effectively process prior‑authorization requests for medications within the prescribed timelines
Enroll eligible patients into manufacturer patient assistance co‑pay programmes
Pharmacy Technician Specialist Job Responsibilities
Initiate and facilitate all drug purchasing for the pharmacy department
Monitor stock levels; evaluate previous purchasing and utilisation patterns and anticipate needs
Maintain appropriate drug inventories
Coordinate the receipt of all deliveries, restock storage areas and rotate stock as necessary
Develop and maintain contacts and mechanisms to obtain drug supplies on an emergency basis, interacting with local hospitals, pharmacies, alternative vendors, etc.
Facilitate all returns and credits of expired or unneeded drugs
Take appropriate action on drug recalls
Process inter‑department billing and perform monthly pharmacy unit inspections
Prepare medications and floor stock for delivery to various hospital departments and nursing units
Rectify with vendors all problems associated with receipt of orders, back orders, shipping errors and incorrect pricing
Maintain purchasing records including invoices, purchase orders, catalogues and historical records
Prepare and distribute purchasing reports for the department
Assist in maintaining the pharmacy technician schedule
Assist in the development and training of new pharmacy technicians
Perform all duties of pharmacy technician, including sterile compounding of IV admixtures, injections and infusions
Assist in weekly narcotic audits to ensure accurate narcotic record keeping
Work with the pharmacy manager or director to identify areas of improvement in workflow or inventory control of the pharmacy
Qualifications
High School Diploma or equivalent
Pharmacy Technician License (IDFPR)
Certified Pharmacy Technician (CPhT) certification through PTCB or NHA
At least 2 years of specialised or technical training
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events.
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Job Description The Pharmacy Technician Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Specialty Pharmacy Specific Responsibilities
Identify, research, and resolve issues and consumer complaints
Check incoming prescriptions for completeness of all required information needed for processing
Possess working knowledge of participating third‑party payors and their requirements
Establish and maintain open communication with pharmacy operations analysts regarding third‑party billing issues and centralised procurement team regarding ordering and inventory matters
Assist with prescription audits as needed
Educate pharmacy staff regarding third‑party billing policies and procedures as needed
Answer and triage patient, provider, and third‑party calls to appropriate individuals adhering to phone scripts in a courteous and professional manner
Contact payers for lost medication, replacement, or vacation overrides
Troubleshoot and resolve billing rejections and rebill claims to appropriate carriers for all commercial, federal, and state insurance plans
Verify and accurately update patient demographic information in appropriate system(s)
Document patient’s insurance information in appropriate system(s)
Refer and document any clinical questions regarding prescriptions, drug information, or health conditions requiring follow‑up to a pharmacist
Utilise case management and pharmacy software systems to schedule prescription refills and adjudicate claims
Coordinate prescription orders accurately, including “ready at” date, time, and shipping/delivery method
Perform point‑of‑sale functions
Understand and adhere to drug‑specific REMS requirements and identify what is needed for REMS fulfillment. Complete any REMS forms and authorisations required from the pharmacy. Print drug‑specific medication guides to be dispensed with prescription when needed
Complete prescription return‑to‑stock reports in a timely manner to meet compliance requirements
Access, input, and retrieve information on pharmacy computer system to create labels for prescriptions
Possess thorough understanding of the processes and procedures for shipping patient’s medications and can independently resolve any complications
Spend ≤ 5 % of time on quality management of the program
Support the Northwestern Medicine Ambulatory Pharmacy team to enhance workflow for clinical pharmacy services throughout the network
Provide access to medications for patients by completing prior‑authorization requests, co‑pay assistance programmes, medication assistance programmes, and benefits investigation
Coordinate with third‑party insurance, clinical staff, and patients to effectively process prior‑authorization requests for medications within the prescribed timelines
Enroll eligible patients into manufacturer patient assistance co‑pay programmes
Pharmacy Technician Specialist Job Responsibilities
Initiate and facilitate all drug purchasing for the pharmacy department
Monitor stock levels; evaluate previous purchasing and utilisation patterns and anticipate needs
Maintain appropriate drug inventories
Coordinate the receipt of all deliveries, restock storage areas and rotate stock as necessary
Develop and maintain contacts and mechanisms to obtain drug supplies on an emergency basis, interacting with local hospitals, pharmacies, alternative vendors, etc.
Facilitate all returns and credits of expired or unneeded drugs
Take appropriate action on drug recalls
Process inter‑department billing and perform monthly pharmacy unit inspections
Prepare medications and floor stock for delivery to various hospital departments and nursing units
Rectify with vendors all problems associated with receipt of orders, back orders, shipping errors and incorrect pricing
Maintain purchasing records including invoices, purchase orders, catalogues and historical records
Prepare and distribute purchasing reports for the department
Assist in maintaining the pharmacy technician schedule
Assist in the development and training of new pharmacy technicians
Perform all duties of pharmacy technician, including sterile compounding of IV admixtures, injections and infusions
Assist in weekly narcotic audits to ensure accurate narcotic record keeping
Work with the pharmacy manager or director to identify areas of improvement in workflow or inventory control of the pharmacy
Qualifications
High School Diploma or equivalent
Pharmacy Technician License (IDFPR)
Certified Pharmacy Technician (CPhT) certification through PTCB or NHA
At least 2 years of specialised or technical training
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events.
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