Non-Retail Pharmacy Technician - Intake

Amber Specialty Pharmacy; United States; On-site; USD 28,000 - 33,000; Full time

Benefits offered by this job

Paid training

Six paid holidays

Certification support

Job summary

Amber Specialty Pharmacy is hiring a Patient Access Technician in our Operations department. This role supports day-to-day customer service for assigned patients, handles insurance verification, prior authorizations, and cost estimates, and routes documentation for new patients and refills.

The position requires a high school diploma and an unrestricted pharmacy technician license. Monday–Friday, 8am–5pm CST, with some rotations; pay is $20.00–$24.00 per hour and offers six paid holidays and

Qualifications

• High school diploma or equivalent.
• Current unrestricted state pharmacy technician registration/licensure.
• National or state pharmacy technician certification as required by the State Board of Pharmacy.
• Knowledge of Medicare/Medicaid, commercial insurance, insurance verification and pharmacy billing.

Responsibilities

• Route incoming documentation for new patients, refills, and additional documentation for specialty and infusion pharmacy.
• Explain company programs and services to referral sources and provider offices.
• Act as liaison between company, insurance, payers, and providers via phone, fax and email.
• Enter data into tracking software; transfer calls to clinical staff as needed.
• Create patient cost estimates and attach to patient records for care center reference.
• Coordinate follow-up tasks and notifications related to patient care and funding.
• Maintain logs, records, and confidentiality per policy.

Skills

Detail oriented

Deadline-driven

Communication

Education

High school diploma or equivalent

Tools

MS Excel

MS Word

Outlook

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.

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.

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.

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.

Additional Candidate Requirements

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

Join Amber Specialty Pharmacy, where independent thinking and individualized care are the cornerstones of our dynamic approach in the specialty pharmacy and infusion services industry. Amber Specialty Pharmacy stands at the forefront of healthcare innovation, headquartered in Omaha and serving patients nationwide. Our commitment to exceptional patient care is unparalleled. We specialize in managing rare and chronic conditions, in categories like organ transplant, oncology, and more. With unwavering dedication, we provide comprehensive clinical support and patient management, ensuring each individual’s unique needs are met. What sets us apart is our commitment to core family values. At Amber Specialty Pharmacy, we uphold a tradition of respect and dignity for both patients and employees alike. Our passionate team delivers specialized care with honesty and compassion, making a positive impact on the lives we touch. If you’re seeking a fulfilling career that aligns with your values and allows you to make a meaningful difference in the lives of patients, join us at Amber Specialty Pharmacy. Together, we’ll continue our legacy of exceptional care and innovation.