Specialty Pharmacy Technician - as needed

Riverside Regional Medical Center; Newport News (VA); On-site; USD 33,000 - 43,000; Full time

Job summary

Riverside Regional Medical Center in Newport News, Virginia, seeks a Pharmacy Technician to coordinate referrals, prior authorizations and patient assistance programs under supervision of a licensed pharmacist. You will ensure accurate documentation, communicate with patients, providers, payers and manufacturers, and support timely therapy initiation.

The role emphasizes independent work, time management, and strong interpersonal skills to deliver high-quality patient service in a fast-paced

Qualifications

• Must have completed a Pharmacy Technician Training program or equivalent.
• Experience as a Pharmacy Technician, LPN, or CMA preferred.
• Knowledge of prior authorization processes and patient assistance programs is a plus.
• Familiarity with HIPAA and medical terminology is required.

Responsibilities

• Process referrals promptly and submit supporting documentation for prior authorization.
• Collaborate with departments to obtain prior authorizations and patient assistance.
• Document medical necessity and ensure follow-up and proper records.
• Maintain accurate intake referral data in EMR and tracking systems.
• Proactively track patient refills and enrollments for assistance programs.
• Protect patient information per HIPAA; support audits and inspections.
• Provide excellent customer service and clear communication with stakeholders.

Skills

Pharmacy terminology

Prescription knowledge

Math calculations

Pharmacy workflow

EHR navigation

Communication skills

Prior authorization

Patient assistance programs

Organizational skills

Customer service

Education

Pharmacy Technician Training

Licensed Practical Nurse (LPN)

Certified Medical Assistant (CMA)

Job description

Newport News, VirginiaHiring Range$23.90 - $31.10/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.OverviewSupports patient access to specialty medications by coordinating prior authorizations, benefit investigations, and patient assistance programs under the supervision of a licensed pharmacist, while serving as a liaison between patients, providers, payers, and manufacturers to facilitate timely medication approval and therapy initiation. Ensures accurate documentation, clear communication, and compliance with specialty pharmacy accreditation standards and all applicable state and federal regulations while supporting a positive patient experience.What you will doTimely process of referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes. Collaborate with other departments to assist in obtaining prior authorizations, patient assistance medications or financial assistance. Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed. Follows prior authorization and/or patient assistance workflows and policies/procedures.Demonstrates the ability to work independently, meet deadlines and possesses excellent time management skills. Perform tasks accurately and efficiently. Possesses excellent interpersonal, customer service and communication skills (both written and verbal); timely responses to key stakeholders.Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure/workflow. Completes timely documentation within the required tracking systems and retrieves necessary documentation and maintains up to date knowledge of the pharmaceutical companies’ patient assistance programs.Proactively tracks and manages patient refills/outreach to ensure timely prescription/infusion service.Proactively works on prior authorization and patient assistance enrollments that are due to expire.Secure patients’ demographic and medical information in compliance with organization HIPAA policies and procedures.Assists management with inspections, audits, reports and training to ensure compliance with standards and to provide quality service.QualificationsEducationProgram Graduate, Pharmacy Technician Training Program or equivalent (Preferred) orProgram Graduate, Licensed Practical Nurse (Required) orProgram Graduate, Certified Medical Assistant (Required)Experience3-4 years Experience as a Pharmacy Technician, LPN or CMA (in lieu of education) (Required)1 year Experience obtaining and managing medication prior authorization as part of job function (Preferred)1 year Prior Experience obtaining and managing patient assistance program applications (Preferred)Skills and AbilitiesFamiliar with medical and pharmacy terminologyPrescription drug and over-the-counter knowledgeBasic math skills, including pharmaceutical calculationsBasic pharmacy workflowUnderstanding pharmacy computer systemsAbility to navigate and read electronic health recordStrong written and verbal communication skillsAbility to prioritize, problem solve and multitaskExcellent customer service skillsKnowledge of patient assistance programsExperience with prior authorization of medicationsStrong organizational skills and detail orientedLicenses and CertificationsRegistered Pharmacy Technician - Virginia Department of Health Professions (VDHP) Upon Hire(Required) andPharmacy Technician Certification Board (PTCB) - Pharmacy Technician Certification Board (PTCB) PTCB or ExCPT Upon Hire(Required) orLicensed Practical Nurse (LPN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required) orCertified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) Upon Hire(Required)Advanced certification in specialty pharmacy field (PTCB, ASHP, NCODA and other approved programs) (Preferred)To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.