Pharmacy Technician, Specialty Pharmacy Representative

4 weeks ago


King of Prussia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full time
About the Role

We are seeking a highly skilled Pharmacy Technician to join our team as a Specialty Pharmacy Representative. In this role, you will play a critical part in driving our refill queues and assisting patients, physicians, and pharmacists in the completion of claim adjudication, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for our patients.

Key Responsibilities
  • Enter patient information, including name, date of birth, insurance information, allergies, and medication history into our therapy-specific patient assessment software.
  • Assist with the filling and distribution of prescriptions, under the direction of a patient care pharmacist, in accordance with the law.
  • Adjudicate and review claims responses for reimbursement and profitability.
  • Analyze claims messages to determine next steps for order escalation as needed.
  • Schedule delivery of high-dollar/specialty medications as well as other maintenance medications to maintain patient adherence and compliance to prescribed therapy.
  • Assess patient need for clinical intervention based on how they answer the refill questions or any information they may provide unrelated to the refill assessment.
  • Identify any barriers to care, non-compliance, changes in therapy/dosing, and escalate to the clinical support team when appropriate.
  • Review patient charts to ensure all information is accurate and up-to-date.
  • Explain insurance coverage to patients as it relates to their copay responsibility and financial resources available to them.
  • Screen patients for financial assistance and apply on their behalf where applicable.
  • Print paperwork and fill prescriptions under the supervision of a clinical pharmacist.
  • Track and monitor deliveries to ensure medication arrives to patients undamaged; intervene where necessary to reship delivery.
  • Contribute to departmental Quality Assurance/Quality Improvement activities.
Requirements
  • High School Diploma or GED equivalent preferred.
  • AS/BS degree preferred; Certified Pharmacy Technician (CPhT) preferred.
  • 3+ years experience in customer service role.
  • 1+ years experience in a specialty pharmacy, hospital, health insurance company, benefits department, or other related healthcare environment.
About Us

Thomas Jefferson University & Jefferson Health is a nationally ranked health system and academic institution dedicated to providing exceptional care, advancing medical knowledge, and fostering a culture of innovation and excellence. We are committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability, or any other protected group or status.



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