Specialty Pharmacy Technician (419) (1876)

Home Life Healthcare Corp.; Town of Oneonta (NY); On-site; USD 38,000 - 52,000; Full time

Job summary

Home Life Healthcare Corp. in New York seeks a Specialty Pharmacy Technician to support the full medication-use cycle under a pharmacist's supervision.

You will handle patient intake, insurance navigation, billing, prescription processing, and shipping of refrigerated and non-refrigerated medications. You will provide excellent customer service to patients and providers, maintain accurate records in the pharmacy system, and work to meet URAC and other regulatory standards.

Qualifications

• Experience in a customer service related field.
• 3-6 months' experience as a pharmacy technician.
• High school diploma or GED required.
• Preferred: Pharmacy Technician certification.

Responsibilities

• Prepare medication orders for final pharmacist review.
• Navigate insurance plans and bill correctly.
• Prepare refrigerated and non-refrigerated shipments.
• Maintain patient records in the pharmacy system.
• Assist in orienting and training new employees.
• Participate in URAC/compliance activities.

Skills

Customer service

Insurance billing

Order processing

Regulatory compliance

Communication with prescribers

Education

High School Diploma or GED

Pharmacy Technician certification

Tools

Pharmacy software

Job description

Job Summary

Performs pharmacy technician duties within the Specialty Pharmacy department under the direct supervision of a registered pharmacist. The Specialty Pharmacy Technician supports the full medication-use cycle for specialty patients, including patient intake, insurance navigation and billing, prescription processing, order fulfillment, and shipping/distribution of refrigerated and non-refrigerated medications. The technician provides excellent customer service to patients, caregivers, and provider offices; assists patients in identifying and accessing copayment and financial assistance resources; and maintains accurate, up-to-date patient records within the pharmacy's computerized system. The technician collaborates closely with pharmacists, prescriber offices, and payers to resolve patient-specific issues, and works in accordance with departmental policy, accreditation standards (e.g., URAC), and applicable local, state, and federal law to ensure timely, accurate, and high-quality care for specialty pharmacy patients.

Job Duties

• Prepare medication orders for final review by a pharmacist
• Navigates insurance plans and accurately bills the appropriate insurance, including coordination of benefits for patients with more than one payer, understanding overrides and codes, and performing manual billing as needed.
• Stays informed on current availability of, and assists patients with, copayment assistance methods, including copayment cards or programs, foundation support, and grant support.
• Collaborates with prescriber offices to resolve patient-specific issues, including prior authorizations, missing information, and clinical clarifications.
• Works under the supervision of a registered pharmacist while staying current with local, state, and federal pharmacy laws and regulations.
• Responsible for the proper and accurate filling of each individual order
• Maintain and keep reasonable production as determined by supervisor
• Prepare refrigerated and non-refrigerated shipments for UPS and FedEx daily
• Assist in preparation of packaging for shipments
• Check in orders and ensure appropriate stocking levels in pharmacy
• Maintain a professional and clean appearance in pharmacy always
• May assist in orienting and training new employees
• Consistently and fully participates in departmental quality assurance and quality improvement processes, including URAC and other accreditation requirements.

• Responsible for completing all mandatory and regulatory training programs

• Perform other duties as assigned

Educational Requirements

• Minimum: High School Diploma or GED
• Preferred: Pharmacy Technician or related certification

Experience

• Experience in a customer service related field
• 3-6 months' experience as a pharmacy technician