Medication Access Technician - Specialty Pharmacy

10 Nationwide Children's Hospital; Columbus (OH); On-site; USD 33,000 - 52,000; Full time

Job summary

Nationwide Children’s Hospital in Columbus, OH seeks a Pharmacy Technician to ensure access to medications, conduct benefits investigations, and submit prior authorizations for select clinics.

The role involves denial management support, collaboration with clinicians and insurers, and accurate documentation in the EHR to streamline patient care.

Ideal candidates have a high school diploma, Ohio Board registration, PTCB/ExCPT certification, and 2 years of related experience.

Qualifications

• High school diploma or equivalent is required.
• Current registration/certification with the Ohio Board of Pharmacy is required.
• Certification as a pharmacy technician (PTCB/ExCPT) is required before start date.

Responsibilities

• Perform benefits investigations and submit prior authorizations for select medications and clinics.
• Support denial management including appeals and patient assistance program applications.
• Assist patients and caregivers with medication access and documentation in the EHR.
• Collaborate with pharmacies, insurers, and clinical teams to coordinate care.

Skills

Interpersonal skills

Verbal communication

Written communication

Attention to detail

Education

High school diploma

Ohio Pharmacy Board registration

PTCB/ExCPT certification

Job description

Overview: Schedule: Monday to Friday 8 am to 5 pm

Job Description Summary: Ensures timely and efficient access to select medications, conducts benefits investigations, submits prior authorizations, and assists with denial management. Collaborates to streamline communication, resolve access issues, and provide exceptional customer service.

Job Description:

Essential Functions:

• Performs benefits investigations and submits prior authorizations for select medications and clinics within the organization.
• Provides support for prior authorization denial management including appeals, patient assistance program applications, and claims review, as needed.
• Assists clinic team members, patients, and caregivers with medication access to select medications.
• Works with external pharmacies and copay assistance programs, as needed.
• Gathers necessary information to support the medication access process.
• Documents clearly and appropriately within the electronic health record.
• Collaborates with pharmacy and clinic team members and external stakeholders (e.g., insurance providers) to ensure seamless and effective communication and coordination of care.

Education Requirement:

High school diploma or equivalent, required.

Licensure Requirement:

Registered with the Ohio Board of Pharmacy (Registered or Certified Pharmacy Technician), required.

Certifications:

Certification as a pharmacy technician or documented passing score on certification exam prior to start date (PTCB, ExCPT), required.

Skills:

• Effective interpersonal, verbal, and written communication skills.
• Ability to problem solve and work independently.
• A strong attention to detail to accurately document information.
• Strong sense of accountability to ensure alignment with processes and patient needs.

Experience:

• 2 years of experience as a pharmacy technician in a pharmacy area related to the position, preferred.
• Pharmacy or medical billing experience, preferred.

Physical Requirements:

OCCASIONALLY: Bend/twist, Chemicals/Medications, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Pushing / Pulling: 26-40 lbs, Squat/kneel, Standing, Walking FREQUENTLY: Lifting / Carrying: 0-10 lbs CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Reaching above shoulder, Repetitive hand/arm use, Seeing – Far/near, Sitting

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

EOE M/F/Disability/Vet

The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose. Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission. We’re 15,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere. Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere. Nationwide Children’s Hospital. A Place to Be Proud.