Referral Resource Specialist - Pharmacy Technician

Ardon Health, LLC.; Portland (OR); On-site; USD 35,000 - 43,000; Full time

Benefits offered by this job

Competitive pay

Flexible PTO

Health, dental, vision insurance

401(k) match

Job summary

Ardon Health, LLC. is seeking a Referral Resource Specialist to join its Portland-based team. You will support all processes related to referral management, including prescription processing, insurance review, and benefit investigations.

The role acts as a liaison between pharmacists, providers, and patients, handling queue management and outreach for new and refilled prescriptions. The position requires at least 2 years in a pharmacy setting (1 year in specialty) and strong communication

Qualifications

• Minimum 2 years’ work experience in a pharmacy setting, including 1 year in specialty pharmacy.
• Typing a minimum of 35 words per minute; strong computer skills.
• Experience with prescription processing, insurance and benefit investigation.
• Excellent communication with patients and providers; ability to handle inquiries and escalations.

Responsibilities

• Act as liaison between company, patients, and physician’s offices.
• Manage queues for prescription clarifications, prior authorizations, and refills.
• Assist with patient outreach for new prescriptions, transfers, and refill requests.
• Support insurance and pharmacy teams as needed.
• Document incoming and outgoing calls and maintain patient confidentiality.
• Provide outbound communications to patients and providers for delays or issues.

Skills

Pharmacy experience

Prior authorization

Prescription data entry

Customer service

Typing 35 wpm

Multi-tasking

Education

High school diploma or GED

Job description

As we continue to grow, we are seeking a Referral Resource Specialist to join our award-winning specialty pharmacy team.

About Ardon Health

At Ardon, we are passionate about our mission to inspire people and improve lives through the delivery of high-quality, compassionate healthcare services. Our innovative work environment in Portland, Oregon, centers around uplifting collaboration with our employees as we care for patients. Our commitment to cultivating talent and fostering growth within our organization keeps Ardon ranked among the top 100 companies to work for in Oregon. Recognized as a Top Workplace by the Oregonian in 2021, 2022, 2023, and 2024

Our specialty pharmacy

Our state-of-the-art specialty pharmacy provides medications that are often used to treat complex or rare conditions. We deliver services to enhance the patient experience within the comfort of their home. We remove barriers to care and provide patients with the education, clinical care and supportive services they need on their treatment journey. We work to build trusted relationships and to be a resource where patients can turn for help.

What it’s like to work with our team

Our progressive work environment embodies the notion that life is meant to be shared and lived well, through hard work, compassion, and camaraderie. Together, we enjoy team meals and celebrate events and company milestones. Employees like to relax in our lounge equipped with amenities that promote wellness and fun. We volunteer to support patient advocacy organizations within our community. Our employee-run DEI Group is dedicated to diversity and inclusion.

To learn more about our team and what we do, watch our video at https://vimeo.com/320864889.

Join us!

Do you want a dynamic career opportunity where you can make a difference? Explore the potential of your pharmacy experience in an elevated role.

We are recruiting a Referral Resource Specialist to join our team of health care professionals. The Referral Resource Specialist (“RRS”) provides exceptional service to patients by supporting all processes related to referral management. The RRS will be an expert in the stages of prescription processing, insurance, and benefit investigation, as well as a liaison between pharmacists and providers for escalated needs. Additionally, the RRS will manage all queues related to prescription clarifications, prior authorizations, and refill/prescription requests.

Job type: Full-time
Pay range: $25.08-$31.35 hourly, depending on experience.

Benefits:

• Competitive pay
• Flexible PTO and paid company holidays
• Medical, dental, vision, disability, and life insurance
• 401(k)match

Position responsibilities:

• Acts as liaison between company, patients, and physician’s office.
• Responsible for application tasks including but not limited to:
• Assists supervisor in addressing queue workload and troubleshoot application and workflow issues.
• Manages patient prescription outreach for new prescriptions, transfers, and refill requests.
• Assists with prescription clarification outreach.
• Manages data entry and prescription outreach for onboarding patient populations.
• Provides inbound provider phone support.
• Fields email requests and addresses issues or facilitates routing to alternate department.
• Assists pharmacist team in processing prescriptions and addressing patient needs.
• Communicates with patients as needed regarding prescription refills and refers any medication or illness related questions or concerns to a board licensed healthcare professional, including but not limited to nurses, pharmacists, and supervised pharmacy interns.
• Supports insurance and pharmacy teams when business needs arise.
• Maintains documentation of incoming and outgoing calls to and from patients.
• Provides outbound communication to patients and providers for all delays, issues, or requests received while patient referrals are within the Referral Resource stages.
• Assist pharmacist team with intervention reporting.
• Manages Speed to Therapy reporting.
• Assists pharmacists with managing discontinuation, lost to follow-up outcomes, and patient discharges.
• Acts as a subject matter expert for pharmacy practices and aids in workflow issue resolution.
• Communicates patient status to physician offices and clinics.
• Maintains patient confidentiality.
• Utilizes operating systems and tools to help manage patient therapy and refill compliance.
• Regular attendance in conformance with the standards, which may be revised from time to time, is essential to the successful performance of this position.
• Maintains active Oregon license. Immediately informs supervisor (and Oregon Board of Pharmacy within 10 days) of any arrests, convictions, suspected or known violations of law, or any other conduct that might affect or has affected license status. Reports to Oregon Board of Pharmacy within 15 days any residence address or employment changes.
• Actively participates and provides support as needed to leadership and quality program staff to ensure activities related to the company’s quality management program and quality improvement activities maintain priority focus and are effectively executed. This may include but is not limited to activities that promote objective and systematic measurement, monitoring, and evaluation of services and defined Quality Improvement Projects (QIPs) that may result from such efforts.
• Complies with the company’s Human Resources policies, Employee Handbook, Code of Conduct, and all department policies and procedures, including protecting confidential company, employee, and customer information; attending work punctually and regularly; and adhering to good safety practices in all activities.
• Performs other duties and responsibilities as assigned.
• Assigning incoming documents
• Creating or updating patient files
• Entering program specific data for manufacturer, payer, and clinical programs
• Loading insurance information
• Performing and reviewing test claim submission and reversal
• PA lookup and approval data entry
• Expertly performing prescription data entry
• Processing prescriber refill requests

Required skills:

1. Successfully meets all primary functions of Patient Care Advocate I and II positions.
2. Minimum 2 years’ work experience in a pharmacy setting, including 1 year of experience working in specialty pharmacy.
3. Proven success with multi-tasking and the ability to troubleshoot and resolve issues relating to prescription operations
4. Ability to be innovative and solution oriented and to strive for best practices.
5. Ability to shift direction based on business needs while successfully remaining focused.
6. Proven teamwork and a positive outlook are essential characteristics of this role.
7. High school diploma or equivalent GED.
8. Typing a minimum of 35 words per minute is required. Must pass typing test.
9. Excellent verbal, written, and interpersonal communication skills.
10. Demonstrated proficiency with computer applications.
11. Ability to multi-task and work in a fast-paced environment
12. Ability to work independently and as part of a team.
13. Ability to arrive at work on time on a daily basis.
14. Active Oregon Certified Pharmacy Technician license.

Our ideal candidate has:

• Strong communication and interpersonal skills.
• Ability to effectively collaborate in a team setting.
• Proficiency in standard workplace software and/or information management applications.
• Prior experience working in a pharmacy or healthcare setting.
• Ability to navigate computer applications.
• Ability to work in a fast-paced environment.
• Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection.
• Prior experience working with physicians, nurses, or other healthcare professionals.

Ardon Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual identification or orientation, national origin, marital status, disability, veteran status or any other status protected by law.