Ambulatory Pharmacy Specialist

2 weeks ago

Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full time

About Us:
Penn Medicine is committed to our tripartite mission of delivering exceptional patient care, engaging in groundbreaking research, and training the next generation of medical leaders.

As a prominent academic medical institution, we foster collaboration among leading clinical, technical, and business professionals across various fields. At Penn Medicine, every day presents an opportunity for breakthroughs, healing, and providing comfort to those in need. Our team members play a vital role in shaping the future of healthcare.

Position Overview:
The Ambulatory Pharmacy Specialist is a crucial member of our pharmacy team, responsible for managing prescription processing for patients and their families within a clinical environment.

Key Responsibilities:

  • Assess patient insurance needs for pre-certification, payment responsibilities, and coverage limitations, ensuring all necessary actions are taken prior to patient discharge.
  • Maintain open communication with ambulatory clinical pharmacists, social workers, and specialty pharmacy teams to gather complete and accurate financial information for claim processing.
  • Promptly inform clinical practices of any coverage issues to determine appropriate next steps.
  • Proactively share benefit investigation findings with clinical practices and patients.
  • Support all myPennPharmacy services as required.
  • Collaborate with internal team members to compile necessary documentation, including prescriptions and billing information.
  • Provide follow-up communication to patients, clinical practices, and families regarding pharmaceutical needs and eligibility information to ensure continued access to medications.
  • Engage with medical staff to obtain timely and accurate clinical and financial information necessary for reimbursement.
  • Educate patients and clinical practices about insurance coverage related to discharge medications.
  • Perform duties in alignment with Penn Medicine's values, policies, and procedures.
  • Undertake additional responsibilities as assigned to support the unit, department, and health system.

Qualifications:
A high school diploma or GED is required, along with 3 to 5 years of experience as a certified pharmacy technician in a retail or outpatient pharmacy setting. Pharmacy Technician Certification is mandatory.

Employee Benefits:
At Penn Medicine, we believe that exceptional patient care begins with the well-being of our employees. Our comprehensive benefits program includes one of the finest prepaid tuition assistance programs in the region.

Penn Medicine employees are dedicated to our mission, and together we will continue to make medical advancements that enable individuals to lead longer, healthier lives.

Equal Opportunity Employer:
Penn Medicine is an Equal Opportunity and Affirmative Action employer. We consider candidates for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran, or any other status protected by applicable law.

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