Pharmacy Technician, Specialty Pharmacy Representative
4 weeks ago
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.
- 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.
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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King of Prussia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full timeJob SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Thomas Jefferson University & Jefferson Health. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy services, ensuring the highest level of patient care and satisfaction.Key ResponsibilitiesAssist patients, physicians, and pharmacists in the...
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King of Prussia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full timeAbout Thomas Jefferson University & Jefferson HealthWe are a nationally ranked health system and academic institution dedicated to providing exceptional patient care, education, and research. Our team is committed to creating unparalleled value in the healthcare industry.Job SummaryWe are seeking a highly skilled Pharmacy Technician to join our Specialty...
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Specialty Pharmacy Representative
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King of Prussia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full timeJob Summary:The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians, and pharmacists in the completion of claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy...
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Specialty Pharmacy Representative
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King of Prussia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full timeJob SummaryThe Specialty Pharmacy Representative I is a key member of our team, responsible for driving our refill queues and assisting patients, physicians, and pharmacists in the completion of claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for...
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