Specialty Pharmacy Representative

2 months ago

Minneapolis, United States Allina Health Full time

Number of Job Openings Available:1Date Posted:October 04, 2024Department:70007908 Community Pharmacy Abbott Northwestern Heart HospitalShift:Day/Evening (United States of America)Shift Length:8 hour shiftHours Per Week:40Union Contract:Non-UnionWeekend Rotation: Every 3rdJob Summary:Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.Key Position Details:1.0 FTE8-hour, day / evening shiftsNo weekend rotationPre-employment Drug Screen: This role requires that all external and internal applicants successfully pass a drug test before beginning work. A positive test result and/or refusal to submit to testing will result in disqualification of further employment consideration.Job Description:Provides excellent customer service in a fast paced environment. Coordinates patient intake, coverage determination, payment coordination, and delivery methods to ensure seamless patient care for those obtaining specialty medications.Principle ResponsibilitiesPerforms customer service.Manages large call volumes.Assists patients with any non-clinical questions and/or concerns.Supports patient intake, accurately enters patient demographics, history and order information into the practice management system(s).Completes referrals to specialty providers, home health, etc., where needed.Arranges for the proper delivery of the medication when needed.Processes insurance.Verifies insurance eligibility and benefits and records the information in Excellian.Supports providers and payers to expedite prior authorizations and/or formulary exceptions when needed.Helps facilitate financial support and prescription assistance for patients.Ensures ComplianceTracks patients and medication utilization.May participate in accreditation maintenance and monitoring of defined metrics.May participate in safety and quality program.Other duties as assigned.Required QualificationsMust be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description0 to 2 years of experience as a Pharmacy TechnicianPreferred Qualifications Vocational or Technical Training from an American Society of Health-System Pharmacists (ASHP) accredited pharmacy technician training program2 to 5 years of experience with advanced knowledge of insurance processing, prior authorizations and formulary resolutionsLicenses/CertificationsRegistered Pharmacy Technician - MN Board of Pharmacy required upon hireCertified Pharmacy Technician - Pharmacy Technician Certification Board required within 180 DaysPhysical DemandsSedentary:Lifting weightUp to 10 lbs. occasionally, negligible weight frequently

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