Senior Reimbursement Specialist

University Health System- San Antonio; San Antonio (TX); On-site; USD 60,000 - 85,000; Full time

Job summary

University Health System – San Antonio seeks a Senior Pharmacy Technician Specialist who will enhance patient care by performing admission medication reviews, MTM coordination, clinical support, and procurement tasks.

The role requires an advanced certification, Inpatient Pharmacy Technician III qualifications, Texas State Board of Pharmacy registration, and at least three years of technician experience, plus independent judgment.

Qualifications

• Advanced certification for the designated specialty role as approved by supervisor.
• Meets all requirements of an Inpatient Pharmacy Technician III with lead responsibilities.
• Minimum three years of experience as a pharmacy technician.
• Experience in medical/pharmacy field including direct patient care, project coordination, and procurement or materials management preferred.
• Demonstrated independent judgment required.

Responsibilities

• Carry out admission medication reviews and medication therapy management coordination.
• Provide clinical support services and assist with drug manufacturer program support.
• Support prior authorizations, procurement, and cost capture activities.
• Mentor junior pharmacy technicians and apply problem-solving and analytical skills.
• Communicate effectively with pharmacy staff, hospital administration, medical staff, patients, and external providers.

Skills

Independent judgment

Project coordination

Communication

Education

Advanced certification for designated specialty role

Inpatient Pharmacy Technician III requirements

Job description

POSITION SUMMARY/RESPONSIBILITIES

Plays crucial role in enhancing patient care and experience by carrying out various pharmacy-related services, including but not limited to admission medication review, medication therapy management coordination, clinical support services, drug manufacturer program assistance, prior authorizations, procurement, and other tasks. Requires ability to work independently, coordinate assigned projects efficiently, and effectively communicate with pharmacy staff, hospital administration, medical staff, patients, and external healthcare providers. The Senior Pharmacy Technician Specialist mentors more junior pharmacy technicians, effectively utilizes problem solving abilities, interpersonal skills and analytical expertise to support optimization of patient outcomes and experience.

EDUCATION/EXPERIENCE

Completion of advanced certification as applicable to specialized role as designated by supervisor and/or Pharmacy Technician Ladder or meets all requirements of an Inpatient Pharmacy Technician III and has specialist/lead responsibilities within inpatient pharmacy. At least three years of experience as a pharmacy technician is required. Experience in a medical or pharmacy related field to include direct patient care activities; project coordination; processing and overseeing medical insurance billing and reimbursement cost capture; and/or in procurement or materials management is preferred. Must have demonstrated independent judgment.

CERTIFICATION

National Certification as an Advanced Certified Pharmacy Technician (CPhT-Adv) is required.

LICENSURE

Current pharmacy technician registration from the Texas State Board of Pharmacy is required.