Specialty Pharmacy Technician Call Center - Hybrid

Beth Israel Lahey Health; Westwood (MA); Hybrid; USD 39,000 - 52,000; Full time

Job summary

Beth Israel Lahey Health in Massachusetts is seeking a Pharmacy Technician to accurately input patient, insurance, and prescription data into the pharmacy system. You will answer non-clinical calls, assist callers, and ensure proper claim adjudication and coverage verification.

This role requires a Mass Registered Pharmacy Tech license, a high school diploma or GED, 1–3 years of related experience, data entry skills, and proficiency with Microsoft Office and web-based applications.

Qualifications

• High School diploma or GED required.
• License Mass Registered Pharmacy Tech required.
• 1-3 years related work experience required.
• Previous data entry experience (minimum three months).
• Experience with computer systems including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Responsibilities

• Answer inbound calls and assist customers with pharmacy services; obtain client information by answering calls; interview clients; verify information.
• Contact patients to schedule medication deliveries and verify correct address information.
• Maintains new and existing patient profiles and enters new prescriptions into patient profiles.
• Escalates calls to pharmacist for clinical inquiries and escalates grievances to supervisor.
• Ensures patient health information is preserved per HIPAA & PHI guidelines.
• Contact insurance companies for benefit investigation and coverage eligibility.

Skills

Customer Service

Written Communications

Oral Communications

Team Work

Problem Solving

Education

High School diploma or GED

Tools

Microsoft Office

Web-based applications

Outlook

Excel

Word

PowerPoint

Access

Job description

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Hybrid requires 2 days on-site per week M-F

Job Summary: Accurately inputs patient, insurance, and prescription information into the pharmacy system. Answers incoming calls and assists callers with non-clinical inquiries. Resolves and ensures proper adjudication of claims. Confirm patient benefits with insurance and determine required authorizations to assist the patient with coverage of therapy prescribed.

Job Description

Essential Responsibilities

• Responsible for answering in-bound calls and assisting customers with pharmacy related services. Obtain client information by answering telephone calls; interviewing clients; verifying information. Contact patients to schedule medication deliveries and verify correct address information.
• Maintains new and existing patient profiles and enters new prescriptions into patient profiles.
• Escalates calls to pharmacist for clinical inquiries and escalates grievances to supervisor.
• Ensures patient health information is preserved per HIPAA & PHI guidelines.
• Contact insurance companies for benefit investigation and coverage eligibility.

Required Qualifications

• High School diploma or GED required.
• License Mass Registered Pharmacy Tech required.
• 1-3 years related work experience required.
• Previous data entry experience (minimum three months).
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Preferred Qualifications

• PTCB certification.
• Specialty Pharmacy experience.
• Pharmacy data entry and PBM Billing experience.

Competencies

• Decision Making: Ability to make decisions that are based on specific instructions, standard practices and established procedures which generally require little or no supervision.
• Problem Solving: Ability to address problems that are routine, somewhat repetitive and generally solved by following clear directions and procedures and by identifying opportunities for process improvements.
• Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
• Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
• Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
• Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
• Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature Of The Job

Light work: Exerting up to 20 pounds of force frequently to move objects. Some elements of the job are sedentary, but the employee will be required to stand for periods of time or move through out the hospital campus

Pay Range

$28.08 - $37.79

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled