Ambulatory Rx Assistance Pharmacy Technician

Carle Health; Champaign (IL); On-site; USD 25,000 - 41,000; Full time

Job summary

Carle Health is seeking an Ambulatory Rx Assistance Pharmacy Technician to provide prescription assistance across ambulatory settings, including infusion suites, clinics, and discharge. This role blends pharmacy and billing with case management to support patients’ access to medications.

Responsibilities include assessing patient needs, coordinating with insurers and care teams, enrolling patients in medication assistance programs, and documenting activities in EPIC.

Qualifications

• Pharmacist technician certification required.
• Licensed in Illinois within 60 days of license application.
• Experience in pharmacy billing or case management a plus.

Responsibilities

• Assess patient situation for prescription assistance needs and provide resources.
• Submit prescription prior authorizations to health insurance providers.
• Coordinate with community agencies, insurance companies and pharmacies.
• Document interactions and work completed in EPIC per policy.
• Collaborate with RN Care Coordinator, Social Work, pharmacists and care team.
• Identify and enroll qualified patients in medication assistance programs.
• Execute logistics of assistance programs (replenishment, copay cards, coupons, etc.).
• Monitor posting of payments and reimbursements; report metrics timely.

Skills

Certified Pharmacy Technician

Licensed Pharmacy Technician

Job description

Overview

The Ambulatory Rx Assistance Pharmacy Technician provides prescription assistance for patients across the system in a number of ambulatory settings, including but not limited to infusion suites/expanded care, ambulatory clinics, and upon discharge from inpatient admission. This multi-faceted role requires expertise in Pharmacy and Billing with an understanding of Case Management and Social Work and facilitates financial assistance for patients related to prescription medications.

Qualifications

Certifications: Certified Pharmacy Technician, - Student Pharmacist or Licensed before 1/1/2008 - Exempt/Not Required; Licensed Pharmacy Technician within 60 days of license application - Illinois Department of Financial and Professional Regulation (IDFPR); Certified Pharmacy Technician within 2 years of license issue date (IL) - Varies, Education: , Work Experience: Related field

Responsibilities

Assesses patient situation for potential prescription assistance needs and provides appropriate resources, including: coupons, copay cards, 340b discount program, and pharmaceutical assistance programs.Submits prescription prior authorizations to health insurance providers as needed.Follows One Time Prescription Assistance Protocol.Contacts community agencies, insurance companies and pharmacies to gather information and coordinate efforts.Communicates to the patient and care team the plan for prescription assistance.Documents interactions and work completed in EPIC per CM107 documentation policy.Collaborates with RN Care Coordinator, Social Work, pharmacists, and care team to develop a plan of care related to prescription assistance for discharging the patient.Identify and enroll qualified patients for medication assistance programs related to their therapy/medication. Secure and review applicable paperwork/applications to facilitate patient enrollment programs. Execute logistics of assistance programs including, but not limited to, product replenishment, co-pay reimbursemtn, payment arrangements, prescription copay cards, coupons, and foundational assistance. Monitor posting of payments and reimbursements when prescription assistance is obtained for medical benefit drugs. Track, monitor, and report metrics to supervisor timely.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $18.26per hour - $29.58per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.