Specialty Pharmacy Call Center Technician

Cleveland Clinic; Cleveland (OH); Remote; USD 35,000 - 45,000; Full time

Job summary

Join Cleveland Clinic as a Specialty Pharmacy Call Center Technician, a role designed to support patients through handling prescriptions and coordinating with healthcare providers. This full-time position offers a supportive environment for caregivers focused on patient-first healthcare. Successful candidates will be detail-oriented and certified as pharmacy technicians, engaging in vital patient assistance and ensuring accurate medication management.

Qualifications

• High school diploma required; Pharmacy Technician certification preferred.
• Detail-oriented with a focus on accuracy in data entry and patient information.
• Active registry with the Ohio Board of Pharmacy required.

Responsibilities

• Initiate prior authorizations and communicate with payors.
• Manage refills and schedule assessments for patients.
• Ensure accuracy in patient data and prescription processing.

Skills

Detail-oriented

Communication

Education

High school diploma or equivalent

Active registration as a Certified Pharmacy Technician

Job description

Specialty Pharmacy Call Center Technician

Join to apply for the Specialty Pharmacy Call Center Technician role at Cleveland Clinic

Specialty Pharmacy Call Center Technician

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Join to apply for the Specialty Pharmacy Call Center Technician role at Cleveland Clinic

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Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

Under pharmacist supervision, the Specialty Pharmacy Technician is responsible for three subgroups of patients (Hematology/Oncology, Inflammatory and Infectious Disease and Cardiology) is responsible for data entry of required information from the prescription and patient profile to process and adjudicate prescriptions. They initiate prior authorizations, coordinate with third-party payers, apply manufacturer copay cards and assist with financial aid applications. The technician also contacts patients to manage refills and schedule assessments.

A caregiver in this role works remotely from 7:00 a.m. – 6:00 p.m.

A caregiver who excels in this role will:

• Initiate prior authorizations and communicates with third party payers on behalf of the physician and patient.
• Find and apply manufacturer co-pay cards and initiate patient assistance and co-pay assistance applications.
• Reach out to patients to manage refills and schedule necessary current and future assessments.
• Ensure the accuracy of prescription and patient data entered various systems by verifying patient, drug, quantities, directions, day’s supply, insurance and physician data.
• Conduct a thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims.
• Explain benefit coverage and financial responsibilities to the patients.
• Supply financial assistance contact information and/or initiates patient assistance and copay assistance applications on behalf of the patients.
• Resolve aspects of specialty pharmacy insurances, including Medicare, Medicaid, Pharmacy Benefit Managers (PBM), and Preferred Provider Organizations (PPO) and communicates with payors and advises patients or physician of results as needed.
• Communicate with patients professionally and customer-friendly to schedule the delivery of new and refilled medications and supplies.
• Utilize all pharmacy systems to review patient profiles, enter changes and establish assessment schedules.
• Document all patient/client/provider contact in appropriate computer systems.
  
  

Minimum qualifications for the ideal future caregiver include:

• High school diploma or equivalent
• Active registration through the Ohio Board of Pharmacy (OBOP) as a Certified Pharmacy Technician required
• OR Registered Pharmacy Technician or Pharmacy Technician Trainee with agreement of updating registration to a Certified Pharmacy Technician with the OBOP within six months of hire
• Must be detail-oriented and able to identify and develop solutions by applying appropriate pharmacy standards and policies
  
  

Preferred qualifications for the ideal future caregiver include:

• One year of experience in a pharmacy technician role
  
  

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

• Typical physical demands include ability to perform the job while standing, reaching, stretching, stooping, and sitting for prolonged times.
• Manual dexterity sufficient to perform computer and dispensing functions of the job.
• Ability to lift up to 20pounds while walking, stooping, bending and reaching.
  
  

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.
  
  

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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