Ambulatory Pharmacy Concierge Specialist

Jobtailor

Philadelphia (Philadelphia County)

On-site

USD 42,000 - 65,000

Full time

4 days ago
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Job summary

Jobtailor in Philadelphia, PA is seeking an experienced Ambulatory Pharmacy Concierge Program Technician to support discharge and outpatient prescription workflows. You will manage prescription billing, patient assistance, and coverage denials while collaborating with care teams and insurers.

Ideal candidates have 3+ years in a community or hospital outpatient setting, PA license/CPHT preferred, and strong communication and regulatory knowledge.

Qualifications

  • Minimum of three years in a community-based retail or hospital outpatient pharmacy or equivalent experience.
  • Knowledge of outpatient prescription program payer/PBM billing, Prior Authorization, and Claim Exception Facilitation.
  • Pharmacy Technician License; CPHT preferred.
  • By May 2026, PA Pharmacy Technician Trainee or Pharmacy Technician license required by Pennsylvania.
  • Computer literacy with Word/Excel and Pharmacy Operating System experience.
  • POS and cash register experience required.

Responsibilities

  • Collaborate with internal team to gather paperwork, prescription billing information, and prescriptions.
  • Answer inbound telephone calls and triage to appropriate staff.
  • Create patient profiles in the pharmacy information system.
  • Enter prescription plan information for processing and adjudicating prescriptions.
  • Support Concierge Service activities from intake through bedside delivery at patient discharge.
  • Comply with regulatory and organizational policies and procedures.
  • Participate in program marketing and promotional campaigns.
  • Assist in establishing Concierge Services Program policies and procedures, including indigent drug, Patient Assistance, and pharmacy exception processes.
  • Serve as the primary Ambulatory Pharmacy resource for discharge medication access issues.
  • Resolve formulary, coverage, copay, patient assistance eligibility, and indigent program issues.
  • Prepare inventory reports for pharmacist review and purchase.
  • Submit, receive, and stock inventory.
  • Follow up with patients and families regarding pharmaceutical needs and eligibility information.
  • Collaborate with patient care teams, insurance companies, drug manufacturers, and prescription benefit administrators to coordinate coverage and resolve denials.
  • Educate pharmacy and patient-discharge departments on Patient Assistance Program and pharmacy exception policies and processes.
  • Participate in clinical and business goals and metrics for the Ambulatory Pharmacy Concierge Program.
  • Assemble data and prepare concierge program reports.
  • Perform other duties as assigned.

Skills

Prescription Billing
Prior Authorization
Data Reporting
Pharmacy POS
Pharmacy Knowledge
Attention to Detail
Time Management
Organizational Skills
Interpersonal Skills
Problem-Solving

Education

Associate Degree

Tools

Pharmacy Information System
Excel
Word
Cash Register

Job description

Jobtailor in Philadelphia, PA is seeking an experienced Ambulatory Pharmacy Concierge Program Technician to support discharge and outpatient prescription workflows. You will manage prescription billing, patient assistance, and coverage denials while collaborating with care teams and insurers.

Ideal candidates have 3+ years in a community or hospital outpatient setting, PA license/CPHT preferred, and strong communication and regulatory knowledge.

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