Specialty Pharmacy Liaison

AdventHealth; Orlando (FL); On-site; USD 29,000 - 54,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Orlando, FL, seeks an experienced Pharmacy Technician to support medication processing, filling and delivery, with emphasis on patient assistance and prior authorizations. The role includes ensuring accurate records and verifying coverage while coordinating with providers to optimize outcomes.

Required are an RPhT and a CPhT, with 5+ years in a retail or managed care setting preferred. Day shift, full-time, and background screening per Florida law apply.

Qualifications

• Associate degree or equivalent required.
• Proven ability to process prescriptions and verify accuracy.
• Experience with prior authorizations and patient assistance preferred.
• Knowledge of Medicare billing guidelines and insurance carrier rules.
• Strong mathematical and pharmacy calculations skills.

Responsibilities

• Process, fill, and deliver medications to patients.
• Verify demographics, coverage, and initiate prior authorizations.
• Assist with patient funding, co-pay programs, and appeals.
• Develop content and present clinical services to providers.
• Maintain accurate patient records and support quality improvement.

Skills

Pharmacy software proficiency

Third-party claims processing

Medicare Part B/D billing knowledge

Medical terminology

Pharmaceutical calculations

Registered Pharmacy Technician (RPhT)

Certified Pharmacy Technician (CPhT)

Education

Associate degree

Tools

Pharmacy software

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day-Weekend (United States of America)

Address:

601 E ROLLINS ST

City:

ORLANDO

State:

Florida

Postal Code:

32803

Job Description:

Schedule: M-F, 8A-8P with possibility for some weekends (Flexible); 40 hours/week

Location: 601 E ROLLINS ST ORLANDO, FL 32803

Responsible for improving patient outcomes by assisting with processing, filling, and delivery of medications. This position leads and manages referrals, verifies patient demographics and medication coverage, and initiates prior authorization requests. This role facilitates patient assistance, appeals, peer reviews, and co-pay assistance, ensuring communication with specialty patients and referral sources. Other expectations include developing content and presenting clinical services to provider offices, providing metrics related to prior authorization and patient funding success rates.

• Monitors patient medication adherence and provides interventions as needed.

• Maintains accurate and up-to-date patient records and documentation.

• Participates in quality improvement initiatives to enhance pharmacy services.

• Other duties as assigned.

• Dispenses medications accurately and efficiently to patients. Reviews and verifies prescriptions for accuracy and completeness. Manages inventory to ensure adequate stock levels and compliance with regulations.Utilizes patient assistance programs to provide financial aid to eligible patients.

Knowledge, Skills, and Abilities

• Proficiency with prescription-filling software and other computer skills [Required]
• Proficient in processing third party claims and secondary billing [Required]
• Knowledge of part B a part D Medicare billing [Required]
• Knowledgeable in most major prescription insurance carrier reimbursement guidelines and eligibility for coverage by third-party payers [Required]
• Knowledge of medical terminology and vast understanding of mathematical principles to perform pharmaceutical calculations [Required]

Education

• Associate [Required]

Work Experience

• 5+ years working in a retail pharmacy or equivalent environment [Preferred]
• Previous experience in a managed healthcare organization, medical insurance company, pharmacy benefit management or other healthcare related entity [Preferred]
• Prior experience facilitating prior authorizations, patient assistance and co-pay assistance [Preferred]
• Prior experience processing and filling prescriptions for specialty patients [Preferred]

Additional Information

• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:
• Associate's degree OR
• High School Grad and 5+ years of experience

Licenses and Certifications

• Registered Pharmacy Technician (RPhT)[Required]
• Certified Pharmacy Technician (CPhT) [Required]

Physical Requirements

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range

$21.17 - $39.38

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.