Technician-Specialty Pharmacy

6 months ago

Covington, United States Baptist Memorial Full time

Summary This 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. 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 Requirements, Preferences and Experience • Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT) 5 years experience in outpatient pharmacy or clinic setting About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey. At Baptist, We Offer: Competitive salaries Paid vacation/time off Continuing education opportunities Generous retirement plan Health insurance, including dental and vision Sick leave Service awards Free parking Short-term disability Life insurance Health care and dependent care spending accounts Education assistance/continuing education Employee referral program Job Summary: Position: 19136 - Technician-Specialty Pharmacy Facility: BMH - Tipton Hospital Department: Tipton Specialty Pharmacy BMH Tipton Category: Pharmacy Services Type: Clinical Work Type: Full Time Work Schedule: Days Location: US:TN:Covington REQNUMBER: 21361

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