Specialty Pharmacy Representative
4 weeks ago
Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care.
This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.
Key Position Details- 1.0 FTE
- 8-hour, day / evening shifts
- No weekend rotation
- Pre-employment drug screen required
Provides excellent customer service in a fast-paced environment. Coordinates patient intake, coverage determination, payment coordination, and delivery methods to ensure seamless patient care for those obtaining specialty medication.
Responsibilities include:
- Performing customer service
- Managing large call volumes
- Assisting patients with non-clinical questions and/or concerns
- Supporting patient intake, accurately entering patient demographics, history, and order information into the practice management system
- Completing referrals to specialty providers, home health, etc., where needed
- Arranging for proper delivery of medication when needed
- Processing insurance
- Verifying insurance eligibility and benefits and recording the information in Excellian
- Supporting providers and payers to expedite prior authorizations and/or formulary exceptions when needed
- Helping facilitate financial support and prescription assistance for patients
- Tracking patients and medication participation in accreditation maintenance and monitoring of defined metrics
- Participating in safety and quality programs
Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description.
Preferred qualifications include:
- Vocational or technical training from an American Society of Health-System Pharmacists (ASHP) accredited pharmacy technician training program
- 2-5 years of experience with advanced knowledge of insurance processing, prior authorizations, and formulary resolutions
Registered Pharmacy Technician - MN Board of Pharmacy required upon hire. Certified Pharmacy Technician - Pharmacy Technician Certification Board required within 180 days.
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