Patient Assistance Program Pharmacy Technician II

Duke Health; Durham (NC); On-site; USD 35,000 - 48,000; Full time

Job summary

Duke Health in Durham, NC seeks a Pharmacy Technician to manage medication prior authorizations and patient assistance programs, coordinating care between hospital and Duke Retail Pharmacies. The role emphasizes accurate documentation and timely communication with patients and providers.

Ideal candidates will be NC-registered, PTCB or ExCPT certified, and bring 2+ years of experience. Strong attention to detail and teamwork within the Pharmacy Department are essential.

Qualifications

• Must be registered with the NC Board of Pharmacy.
• Pharmacy Technician certification (PTCB or ExCPT) required.
• High school diploma or equivalent; formal training program completed.
• Minimum 1–2 years of pharmacy technician experience preferred.

Responsibilities

• Establish clinic, pharmacy, and patient relationships for patient care.
• Receive referrals to complete medication prior authorizations.
• Verify insurance benefits are active for patients.
• Complete benefits investigations to determine coverage and patient responsibility.
• Submit forms to insurance companies via phone, fax, or portals.
• Follow up to receive determination decisions promptly.
• Communicate status updates to patients, providers, and pharmacies.
• Assist self-pay and underinsured patients with manufacturer programs.
• Coordinate with clinic financial counselors and social workers.
• Assist in drug replacement for insured patients with denials.
• Coordinate and deliver medications to inpatients being discharged.
• Provide education using pill boxes and medication sheets.
• Input patient information into WAM system.
• Work with clinical pharmacists on patient management requirements.
• Contribute to quality improvement activities.
• Other duties as assigned.

Skills

Excellent communication

MS Word & Excel

Organizational skills

Multitasking / independent work

Education

NC Board of Pharmacy registration

PTCB or ExCPT certification

High school diploma or equivalent

Pharmacy technician training program completed

Tools

Microsoft Word

Microsoft Excel

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Working Hours

• Monday – Friday
• 8:30 am -5:00 pm

Job Summary

This pharmacy technician will complete medication Prior Authorizations and participate in the Patient Assistance Program for the Department of Pharmacy ensuring patient access to prescribed medications and drug accountability for drug replacement programs and manufacturer assistance programs in compliance with hospital, state, and federal requirements. This position will also coordinate drug delivery and continuity of care with Duke Retail Pharmacies. This pharmacy technician will primarily be based out of their assigned specialty clinic and will support medication prior authorizations and patient assistance for various patient populations.

Job Description

• Establish clinic, pharmacy, and patient relationships conducive to effective patient care
• Receive referrals to complete medication prior authorizations from clinic staff, providers, and patients
• Verify prescription insurance benefits and/or medical benefits are currently active for patients
• Complete benefits investigations to determine coverage level and patient responsibility
• Submit required forms and documentation to insurance companies via phone/fax and/or web portals
• Follow up on requests to receive determination decisions in a timely manner
• Communicate and document all status updates to patients, providers, and pharmacies
• Assists self-pay and underinsured patients in obtaining costly medications primarily from drug manufacturer replacement programs and manufacturer assistance programs.
• Coordinates and assists the clinic financial care counselors and social workers in identifying eligible patients.
• Works with the Patient Revenue Management Organization to assist in drug replacement for insured patients with drug denials.
• Coordinate and deliver medications to patients being discharged from the hospital.
• Provide education using pill boxes with medication sheets.
• Forwards credits to Pharmacy Financial Management Team for assisted patients.
• Interviews potential patients for assistance and collect all financial forms related to the self-pay status.
• Prepare prescriptions for a pharmacist to check pursuant to a physician order.
• Inputs patient information (including insurance information) into WAM.
• Works with clinical pharmacists to follow patient management program requirements
• Provides input into and participates in quality improvement activities
• Other duties as appropriate for this position

Knowledge, Skills, And Abilities

• Excellent communication skills
• Microsoft Word and Excel competence
• Organizational skills
• Ability to multitask and work independently.

Experience And Desired Credentials

• Registered with the NC Board of Pharmacy
• Certified as a Pharmacy Technician (PTCB)
• High school diploma or equivalent
• Completion of a certified pharmacy technician program
• 2+ years experience as a pharmacy technician.

Minimum Qualifications

• High school diploma or equivalent and completion of an accredited pharmacy technician training program.

OR

• Acceptance into pharmacy school.

OR

• High school diploma or equivalent and one year of pharmacy or healthcare-related experience.

Experience

• Minimum of one year related experience.
• Two years of experience as a pharmacy technician preferred

Degrees, Licensures, Certifications

• North Carolina Board of Pharmacy registration is required.
• Pharmacy Technician certification is required from the Pharmacy Technician Certification Board (PTCB) or The Exam for the Certification of Pharmacy Technicians (ExCPT).

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas - an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.