Decentral Dischrg Pharm Tech-HUP-Ambulatory Pharmacy

Pennsylvania Medicine; Philadelphia (Philadelphia County); On-site; USD 41,000 - 52,000; Full time

Benefits offered by this job

Benefits package

Job summary

Penn Medicine is seeking a Pharmacy Technician to process prescriptions, adjudicate third-party insurance, and assist with medication orders on patient care units and decentralized clinics. You will help with prior authorizations, medication histories, and rounds coordination, ensuring timely delivery of medications to patients and families.

The role requires excellent communication, collaboration with pharmacists, and adherence to program guidelines for benefits and pre-certifications.

Qualifications

• Pharmacy technician must be registered with PA State Board of Pharmacy and have a CPhT certification.
• HS Diploma or GED required; and at least 3 years of certified pharmacy technician experience in retail/outpatient settings.
• Strong communication and teamwork skills essential for interacting with patients, families, and clinical staff.

Responsibilities

• Determines patient insurance requirements for pre-certification, payments, and coverage before discharge.
• Maintain communication with pharmacists, social workers, discharge teams, and specialty pharmacy programs to obtain complete financial information for adjudication.
• Immediately flag coverage issues to the clinical practice to determine next steps.
• Proactively share benefit investigation information with practices and patients.
• Support all myPennPharmacy services as needed.
• Collaborate with internal teams to gather paperwork, prescriptions, and billing information.
• Follow up with patients and practices to ensure ongoing medication access and eligibility.
• Interact with medical staff to obtain timely clinical and financial information for payer reimbursement.
• Educate patients and practices about insurance coverage as it relates to discharge medications.

Skills

Excellent communication skills

Multidisciplinary collaboration

Inventory management

Education

HS Diploma/GED

3+ years of certified pharmacy technician experience

Job description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary

• Responsible for processing prescriptions through the pharmacy system including adjudication of claims to third party insurance plans on the patient care units, assist with filling medication orders (timely and accurately), collect medication histories as part of the medication reconciliation process, and participate in multidisciplinary rounds. The DDP Technician facilitates the delivery of medications to patients and their families in the hospital and clinic setting, coordinates payments and communicate issues to the pharmacist and to the Prior Authorization Team as needed. Excellent communication skills are required for interacting with patients and their families via telephone and/or in person. Additional responsibilities include participation in service line meetings as required, inventory management, processing co-pay cards issued by drug company programs for eligible patients and completing prior authorizations according to the volume on the assigned unit.
• The decentralized pharmacy technician facilitates medication access for patients in primary care practices by identifying and addressing medication access barriers, coordinating with pharmacies and payers, and communicating issues to the patient care team, pharmacists, care management, and social work. In partnership with the population health team, the technician proactively reviews payer and population health data to identify patients with medication adherence gaps, care opportunities, and quality measure needs. The technician conducts targeted outreach, supports chronic disease medication adherence initiatives, assists with preventive medication interventions, and contributes to improved quality performance and patient outcomes. The decentralized pharmacy technician also coordinates GLP1 prescriptions with the Penn Medicine Specialty Pharmacy.

Responsibilities

• Determines patient insurance requirements for pre-certification, patient payments and coverage limitation and the necessary action(s) prior to discharge.
• Maintain communication with ambulatory based clinical pharmacist, social worker, discharge and specialty pharmacy program team members as needed to obtain complete, accurate financial information required for claim adjudication.
• Immediately communicate any issue with coverage to the clinical practice to determine the appropriate next steps.
• Communicates benefit investigation information proactively to the clinical practices and to patients.
• Supports all myPennPharmacy services as needed.
• Collaborates with internal team members to gather appropriate paperwork, prescription, billing information, and/or prescription(s).
• Provides follow-up relating to the communication to patients, clinical practices, and family for pharmaceutical needs and/or additional eligibility information to ensure on-going medication access.
• Interacts with medical staff and their designees to obtain complete, accurate, and timely clinical and financial information required for payer reimbursement.
• Provides education to patients and clinical practices regarding patient insurance coverage as it relates to their discharge medications.

Credentials

• Registered Technician (PA State Board of Pharmacy) (Required)
• Certified Pharmacy Technician - CPhT (Required)

Education or Equivalent Experience

• H.S. Diploma/GED (Required)
• And 3+ years of experience as a certified pharmacy technician in a retail/outpatient pharmacy environment. (Required)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.