Non-Retail Pharmacy Technician - Intake

Amber Specialty Pharmacy; Omaha (NE); On-site; USD 28,000 - 33,000; Full time

Benefits offered by this job

Paid training

Mon-Fri schedule (no weekends)

Six paid holidays

Job summary

Amber Specialty Pharmacy seeks a Patient Access Technician Intake for its Operations department in Omaha, NE. This Pharmacy Technician Apprenticeship Program offers paid training, hands-on experience, and full support to become a Certified Pharmacy Technician.

We operate Monday–Friday, 8am–5pm CST with occasional 10am–7pm shifts. Wages range from $20.00 to $24.00 hourly; six paid holidays. Must pass pre-employment drug tests and background checks. This is an office-based role within Operations.

Qualifications

• High school diploma or equivalent.
• Active state pharmacy technician registration/licensure.
• National or state pharmacy technician certification.
• Familiarity with Medicare/Medicaid/insurance terminology is a plus.

Responsibilities

• Route incoming documentation for new patients, refills, and additional forms.
• Explain company programs and services to referral sources and providers.
• Coordinate insurance verification, prior authorizations, and funding sources.
• Enter data into tracking software and escalate to clinical staff as needed.
• Notify staff of information affecting patient care and funding.

Skills

MS Excel

MS Word

MS Outlook

Attention to detail

Customer service

Insurance knowledge

Education

High School Diploma or Equivalent

State Pharmacy Technician Registration

Pharmacy Technician Certification

Tools

MS Excel

Job description

Additional Considerations (if any)

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions.

Seeking to hire a Certified Pharmacy Technician or the right candidate to join our Pharmacy Technician Apprenticeship Program. When enrolling in our Apprenticeship program you will enjoy paid training, hands-on experience, and full support to become a Certified Pharmacy Technician. We'll provide study materials and cover the initial certification exam fee once you qualify.

• Monday-Friday (NO WEEKENDS!)
• Hours: 8am - 5pm CST / Occasional Rotating 10am - 7pm shift
• Wages: Hourly $20.00 to $24.00
• Six paid holidays
• Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.

Amber Specialty Pharmacy

Job Title

Patient Access Technician Intake

Department

Operations

FLSA

Non-Exempt

General Functions

Responsible for the day-to-day customer service activities and support of specifically assigned clients and customers. Responsible for new patient intake, benefits investigation, initiating prior authorizations, and documentation of interaction with all sources. Provides excellent customer service to all interactions.

Reporting Relations

Reports to: Patient Access Specialist Intake Lead

Direct Reports: None

Primary Responsibilities

• Responsible for routing all incoming documentation for new patients, refills, and additional documentation for Specialty and Infusion pharmacy.
• Explains all Company programs and services to Referral sources and provider's office staff regarding what to expect with Company services, contents of shipments, and patient rights.
• Acts as a liaison between Company, insurance, Pharma, co-pay assistance sources, and provider's offices via phone, fax, and e-mail communications.
• Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities.
• Creates patient's estimated cost of benefits with all pertinent information and attaches to record for use by customer care center of excellence.
• Notifies appropriate staff of relevant information gathered during calls to providers or patients that may affect a patient's disease state, medication regimen or method of funding.
• Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact.
• Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma.
• Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, initiation of discharge, patient letter mailings, or other reminders as it relates to the patient's care.
• Must maintain the established workflow within the Patient Care Access Department and adhere to the company/department's Policy and Procedure manual.
• Responsible for coordinating manufacturer or nursing agency support when home teaching is required.
• Must maintain referral log on a daily basis and update with all pertinent information.
• Responsible for completing patient's Estimated Cost of Benefits and able to explain to patient and others in the organization.
• Must be able to perform complete benefits investigation, including prior authorization and medical vs pharmacy determination. The individual will also need to complete all payer documentation, including Medicare Certificates of Medical Necessity and DME Information Forms.
• Contacts referring nurses/coordinators according to the assigned team regarding insurance verification findings and patient issues, and status updates.
• Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Policy and Procedure manual.
• This is an office-based position.

Professional Competencies

• Proficient with MS Excel, Word, and Outlook
• Demonstrated ability to meet tight deadlines
• Must be detail oriented with a high degree of accuracy
• Ability to work with all levels of internal management and staff, as well as outside clients and vendors
• Working knowledge of Medicare, Medicaid, and Commercial Insurance related to pharmacy billing, prior authorizations, insurance verification, and medical terminology preferred
• Must be knowledgeable in Medicare, Medicaid, Commercial insurance, and renal programs and how they apply to transplant and specialty patients
• Knowledgeable in the process of insurance verification and online prescription adjudication

Educational and Experience Requirements

• High school diploma or equivalent

Licensure and Certification Requirements

• Current unrestricted state pharmacy technician registration/licensure
• National or state pharmacy technician certification per applicable State Board of Pharmacy requirements

Contacts

Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, insurance providers, payers, vendors, and customers. This is not an exhaustive list of contacts and is subject to changes and alternatives.

Confidentiality

The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role.

Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).