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Patient Access Technician

2 months ago

Omaha, United States Amber Specialty Pharmacy Full time

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions.

Hiring Bonus $1000 plus $1000 six months later

Locations: Omaha, Chicago, Dallas, or Philadelphia

Hours: 7:00 am - 7:00 pm (8 hours shifts)

Days: Monday -Friday

Required Licenses/Certifications:

  • State Technician Registration/license (Texas, Chicago or Pennsylvania) hires must acquire registration in Nebraska.
  • National Technician Certification (TX, IL, PA or NE) or NE Certification (NE Only).
Wages: 20.00 $24.00 based on geographical market

Six Paid Holidays

In Office Position

Applicants must pass a drug and background screen as allowed by state, federal or local laws, ordinances or statutes.

Amber Specialty Pharmacy

Job Title: Patient Access Technician Intake

Department: Operations

FLSA: Non-Exempt

General Functions

Responsible for the day-to-day customer service activities and support of specifically assigned clients and customers. Responsible for new patient intake, benefits investigation, initiating prior authorizations, and documentation of interaction with all sources. Provides excellent customer service to all interactions.

Reporting Relations

Reports to: Patient Access Specialist Intake Lead

Direct Reports: None

Primary Responsibilities:
  • Responsible for routing all incoming documentation for new patients, refills, and additional documentation for Specialty and Infusion pharmacy.
  • Explains all Company programs and services to Referral sources and provider's office staff regarding what to expect with Company services, contents of shipments, and patient rights.
  • Acts as a liaison between Company, insurance, Pharma, co-pay assistance sources, and provider's offices via phone, fax, and e-mail communications.
  • Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities.
  • Creates patient's estimated cost of benefits with all pertinent information and attaches to record for use by customer care center of excellence.
  • Notifies appropriate staff of relevant information gathered during calls to providers or patients that may affect a patient's disease state, medication regimen or method of funding.
  • Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact.
  • Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma.
  • Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, initiation of discharge, patient letter mailings, or other reminders as it relates to the patient's care.
  • Must maintain the established workflow within the Patient Care Access Department and adhere to the company/department's Policy and Procedure manual.
  • Responsible for coordinating manufacturer or nursing agency support when home teaching is required.
  • Must maintain referral log on a daily basis and update with all pertinent information.
  • Responsible for completing patient's Estimated Cost of Benefits and able to explain to patient and others in the organization.
  • Must be able to perform complete benefits investigation, including prior authorization and medical vs pharmacy determination. The individual will also need to complete all payer documentation, including Medicare Certificates of Medical Necessity and DME Information Forms.
  • Contacts referring nurses/coordinators according to the assigned team regarding insurance verification findings and patient issues, and status updates.
  • Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Policy and Procedure manual.
  • This is an office-based position.
Professional Competencies:
  • Proficient with MS Excel, Word, and Outlook
  • Demonstrated ability to meet tight deadlines
  • Must be detail oriented with a high degree of accuracy
  • Ability to work with all levels of internal management and staff, as well as outside clients and vendors
  • Working knowledge of Medicare, Medicaid, and Commercial Insurance related to pharmacy billing, prior authorizations, insurance verification, and medical terminology preferred
  • Must be knowledgeable in Medicare, Medicaid, Commercial insurance, and renal programs and how they apply to transplant and specialty patients
  • Knowledgeable in the process of insurance verification and online prescription adjudication
Required Qualifications:
  • Working knowledge of the healthcare industry
  • Six months or less of similar or related work experience


Educational Requirements:

High school diploma or equivalent

Licensure and Certification Requirements:

Nationally Certified Pharmacy Technician is preferred.

Contacts:

Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, insurance providers, payers, vendors, and customers. This is not an exhaustive list of contacts and is subject to changes and alternatives.

Confidentiality:

The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role.

Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).

Apply now and join our mission to provide exceptional patient care