Specialty Pharmacy Access & Adherence Coordinator

Hopehealth-Inc; South Carolina; Sur place; USD 42 000 - 65 000; Plein temps

Résumé du poste

HopeHealth is seeking a dedicated Specialty Pharmacy Technician in Orangeburg, SC to support patients receiving specialty medications. You will coordinate access, prior authorizations, financial assistance, and refill management within an integrated care model, ensuring timely therapy and adherence.

The role requires a high school diploma, state licensure, and 1 year of experience; PTCB/ExCPT preferred. Collaboration with pharmacists, providers, and payers is essential to improve outcomes.

Qualifications

• High school diploma or equivalent required.
• Current Pharmacy Technician registration/licensure as required by state law.
• National Pharmacy Technician Certification (PTCB or ExCPT) preferred.
• One year of pharmacy technician experience required; specialty pharmacy experience preferred.
• Experience with prior authorizations, insurance billing, and patient assistance programs preferred.
• Strong communication, customer service, organizational, and documentation skills.
• Experience in FQHC, ambulatory care, HIV, Hepatitis C, or specialty pharmacy setting preferred.

Responsabilités

• Serve as a primary point of contact for specialty pharmacy patients.
• Coordinate onboarding and therapy initiation for new patients.
• Conduct refill coordination and adherence outreach.
• Identify and address barriers to therapy including cost, access, side effects, and adherence.
• Document all patient interactions accurately and timely.
• Coordinate medication delivery and shipment scheduling.
• Perform benefit investigations and insurance verification.
• Submit and monitor prior authorizations, appeals, and renewals.
• Resolve insurance claim issues and coverage delays.
• Enroll eligible patients in copay and manufacturer assistance programs.
• Educate patients regarding medication costs and available financial resources.
• Communicate with providers, nurses, and care teams about access and status.
• Obtain documentation like chart notes, labs, and diagnoses.
• Provide updates on authorization status and patient needs.
• Support integrated care coordination across specialty lines.
• Support HIV, Hepatitis C and other specialty therapies.
• Assist Ryan White program coordination and patient assistance programs.
• Monitor adherence and continuity of care.
• Collaborate with pharmacists and care teams on goals.

Connaissances

Specialty pharmacy operations

Insurance processes

Customer service

Organization

Documentation

HIPAA/340B/URAC knowledge

Communication

Multitasking

Formation

High school diploma or equivalent

Pharmacy technician licensure

PTCB or ExCPT certification

Outils

Pharmacy information systems

Electronic health records (EHR)

Description du poste

HopeHealth is seeking a dedicated Specialty Pharmacy Technician in Orangeburg, SC to support patients receiving specialty medications. You will coordinate access, prior authorizations, financial assistance, and refill management within an integrated care model, ensuring timely therapy and adherence.

The role requires a high school diploma, state licensure, and 1 year of experience; PTCB/ExCPT preferred. Collaboration with pharmacists, providers, and payers is essential to improve outcomes.