Specialty Pharmacy Technician

LTC PHARMA HLDG LLC; Rockaway (NJ); On-site; USD 38,000 - 48,000; Full time

Job summary

LTC PHARMA HLDG LLC is seeking a Specialist Pharmacy Technician to support efficient pharmacy operations in a fast-paced setting. You will verify patient information, review insurance eligibility, and assist with claims and prior authorizations to ensure timely patient support.

The role emphasizes attention to regulatory compliance, HIPAA privacy, and precise data entry across pharmacy software systems, with a collaborative team environment and flexible scheduling requirements.

Qualifications

• State-level licensure and national certification as required by the home state and state board of pharmacy.
• Regular and predictable attendance, including evenings, weekends, and holidays.
• Ability to complete required training within designated timeframes.
• Excellent customer service in person and over the phone, demonstrating compassion and empathy.
• Strong reading, writing, speaking, and understanding of English.
• Ability to work in a fast-paced environment and pivot quickly between tasks.
• Ability to work both independently and collaboratively.
• Basic math and analytical skills.
• Proficiency in Microsoft Office (Outlook, Excel, Teams) and ability to produce departmental reports.

Responsibilities

• Handle telephone calls that do not require the pharmacist's direct attention.
• Gather and complete patient information profiles accurately.
• Verify insurance and benefits eligibility, including copay assistance or other aid programs, and guide patients accordingly.
• Triage prescriptions appropriately to internal and external providers.
• Manage patient documents promptly and accurately.
• Enter prescription data accurately into pharmacy software systems.
• Identify payer types and requirements based on insurance information.
• Determine payer requirements such as Prior Authorization, Step Therapy, and Specialty Drug restrictions.
• Use prescriber, insurance, and pharmacy portals to enhance communication.
• Troubleshoot and resolve claim issues, including managing a portfolio of rejected claims, with working knowledge of Medicare Part D and other third-party plans.
• Ensure timely billing, including completing and submitting prior authorization forms.
• Stay current on payer policies, program changes, and financial assistance resources.
• Communicate and collaborate with prescribers and their staff regarding prescription needs, financial assistance, or prior authorizations.
• Fill prescriptions by retrieving, counting, and pouring medications (as required).
• Assist with inventory management, including ordering, unpacking, and receiving medication shipments.
• Perform general administrative duties such as filing, returning calls, and assisting in-person customers.
• Verify and collect payment information pertaining to patients shipment.
• Duties and responsibilities may vary based on business needs, state board of pharmacy regulations, licensure requirements, accreditation standards, and the state in which the employee is licensed and/or physically performing work.

Skills

Customer service

Communication skills

English proficiency

Math and analytics

Tools

Microsoft Office

Job description

Specialty Pharmacy Technician

A Specialty Pharmacy Technician is responsible for contributing to efficient and effective pharmacy operations, including but not limited to:

• Following all Company SOPs, federal, state, and local laws, regulations, professional standards, and ethics - including any Company employee agreements.
• Complying with all relevant pharmacy accreditation standards.
• Maintaining confidentiality of all patient and Company information (HIPAA compliance required).
• Adhering to pharmacy workflow procedures at each assigned task station.
• Supporting a high-performing team by taking initiative, improving patient care, and being receptive to feedback.
• Remaining flexible for scheduling and business needs.

Duties and Responsibilities

Under the supervision of the Manager/Director, Pharmacy Manager, or Staff Pharmacist:

• Handle telephone calls that do not require the pharmacist's direct attention
• Gather and complete patient information profiles accurately
• Verify insurance and benefits eligibility, including copay assistance or other aid programs, and guide patients accordingly
• Triage prescriptions appropriately to internal and external providers
• Manage patient documents promptly and accurately
• Enter prescription data accurately into pharmacy software systems
• Identify payer types and requirements based on insurance information
• Determine payer requirements such as Prior Authorization, Step Therapy, and Specialty Drug restrictions
• Use prescriber, insurance, and pharmacy portals to enhance communication
• Troubleshoot and resolve claim issues, including managing a portfolio of rejected claims, with working knowledge of Medicare Part D and other third-party plans
• Ensure timely billing, including completing and submitting prior authorization forms
• Stay current on payer policies, program changes, and financial assistance resources
• Communicate and collaborate with prescribers and their staff regarding prescription needs, financial assistance, or prior authorizations
• Fill prescriptions by retrieving, counting, and pouring medications (as required)
• Assist with inventory management, including ordering, unpacking, and receiving medication shipments
• Perform general administrative duties such as filing, returning calls, and assisting in-person customers
• Verify and collect payment information pertaining to patients shipment.
• Duties and responsibilities may vary based on business needs, state board of pharmacy regulations, licensure requirements, accreditation standards, and the state in which the employee is licensed and/or physically performing work.

Required Qualifications

• State-level licensure and national certification as required by the home state and state board of pharmacy
• Regular and predictable attendance, including evenings, weekends, and holidays
• Ability to complete required training within designated timeframes
• Ability to provide excellent customer service in person and over the phone, demonstrating compassion and empathy
• Strong communication skills with the ability to read, write, speak, and understand English
• Ability to work in a fast-paced environment and pivot quickly between tasks
• Ability to work both independently and collaboratively
• Basic math and analytical skills
• Proficiency in Microsoft Office (Outlook, Excel, Teams) and ability to produce departmental reports as needed

Preferred Qualifications

• 1-3 years of experience as a Pharmacy Technician
• Previous experience in a pharmacy or medical setting
• Previous customer service or retail experience

Physical Demands

• The physical demands described here represent those required to successfully perform the essential functions of this job:
• May sit or stand 7-10 hours per day
• May occasionally need to sit, climb, balance, stoop, kneel, bend, or walk
• May be required to work extended hours as needed
• May lift and/or move up to 30 pounds
• Must be able to function in typical pharmacy work environments
• Must pass background and drug test