Pharmacy Technician (Fulfillment)

Mass General Brigham (Enterprise Services); Burlington (MA); On-site; USD 86,789,000 - 95,054,000; Full time

Job summary

Mass General Brigham Enterprise Services is seeking a Pharmacy Technician to manage specialty medication needs for patients in Burlington, MA. You will coordinate with pharmacy and clinical staff, handle prior authorizations, and ensure timely delivery of medications with exceptional service.

Responsibilities include reviewing regimens, processing orders for billing accuracy, addressing insurance issues, and escalating clinical questions when necessary.

Qualifications

• Pharmacy technician experience or equivalent healthcare experience working with patients.
• Experience with prior authorizations and renewals is a plus.
• Strong customer service and communication skills are required.
• Familiarity with healthcare team workflows is beneficial.

Responsibilities

• Review medication regime with patients to determine which meds to dispense.
• Process medication orders and ensure correct billing to third parties.
• Monitor patient concerns and charts to meet medication therapy needs.
• Answer patient questions about service, insurance issues, and financial assistance.
• Escalate clinical questions to a pharmacist as needed.
• Report patient safety events according to guidelines.
• Foster strong relationships with pharmacists, staff, prescribers, and patients.

Skills

Pharmacy technician experience

Prior authorizations

Customer service

Healthcare teamwork

Education

High School diploma/GED

Tools

EPIC

Microsoft Office

Excel

Job description

Job Summary

Work directly with patients, Specialty Pharmacy staff, and clinic staff to manage the specialty medication needs of Mass General Brigham patients. Understand the complex medication needs of patients and coordinate with pharmacy and medical/nursing staff to meet those needs while providing extraordinary service. Assist patients with benefit coordination and financial assistance, manage prior authorizations, and ensure patients receive their medications at the appropriate time.

Principal Duties and Responsibilities

• Review medication regime with patient to determine which medications need to be dispensed
• Process medication orders confirming that they are billed to all third parties correctly
• Monitor patient concerns, charts and profiles to meet their medication therapy needs

Support MGBSP Patient Needs

• Answer patient questions about the service, insurance issues, financial assistance needs, etc.
• Ensure all questions are answered timely and accurately
• Ensure clinical questions are appropriately escalated to a pharmacist
• Ensure employee back-up coverage is trained and knowledgeable
• Report any Patient Safety Events according to MGB SP guidelines

Commit to Building Relationships

• Quickly forge and sustain (or develop and maintain) strong relationships with pharmacists, coworkers, prescribers, nurses and patients to build/support the services we provide
• Provide caring service, adjusting approaches to reflect developmental level and cultural differences of population served
• Improve processes to facilitate communication and service between patient, and clinic, infusion center and discharge pharmacy teams to ensure accurate and timely delivery of medications
• Participates in MGB SP Clinical Subcommittees

Act as the insurance specialist

• Understand Medicare/Medicaid regulations and billing guidelines as they pertain patient pharmacy benefits
• Understand billing primary, secondary and tertiary insurance claims
• Resolve any billing issues and obtain Prior Authorizations for medications.
• Obtain benefit information and verify patient insurance eligibility and level of coverage
• Cross train within PCC roles as directed to support emergent and ongoing business needs.

Qualifications

• Pharmacy technician experience, or equivalent combination of education and relatedexperience working directly with patients in a healthcare setting. Experience with priorauthorizations and their renewal, and medication and financial assistance renewals are a plus.

• Computer skills (Microsoft Office, Excel, Word, Access). Experience with Pharmacy, EPIC orsimilar medical record software a plus.

License/Certification/Registration

• Registered with State Board of Pharmacy or willingness to become registered upon hire.

• CPhT-Certified Pharmacy Technician License in the State of Massachusetts.

Minimum Experience

• High School diploma/GED

Preferred Experience

• Four-year degree in healthcare-related field or four-year degree and experience in a healthcaresetting.

• Experience working with patients receiving Specialty Medications.

• Proficiency on other languages a plus

Additional Requirements

• Responsible for confidential data: Respect the confidentiality of all information, includinginformation regarding patients, staff members or Health System business issues, and shareinformation only with those who need to know

• Excellent customer service skills, excellent written and verbal communication skills, proficient in the English language, good attention to detail, ability to problem solve effectively, ability tofollow policies and procedures, basic math skills, advanced computer skills and proficient withmedical terminology

• Provide On-call support on a scheduled rotation

• Respect the confidentiality of all information, including information regarding patients, staff members or

• Health System business issues and share information only with those who need to know.

Due to differences in scope of care, practice, or service across settings, the specific experiencerequired for this position may vary

Additional Job Details (if applicable)

• This position is 100% onsite in Burlington, MA.
• The schedule is Monday - Friday, 8:30 AM - 5:00 PM EST

Remote Type

Onsite

Work Location

31 North Avenue

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$ - $31.71/Hourly

EEO Statement

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

At Mass General Brigham, our competency framework defines what effective leadership \"looks like\" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.