Specialty Pharmacy Technician Liaison

RXinsider LTD.; Quincy, Northern (IL, KY); Hybrid; USD 33,000 - 37,000; Full time

Benefits offered by this job

Medical, dental and vision plans

Voluntary wellness programs

Employee assistance programs

Life insurance

Disability insurance

Retirement plan with matching

Paid time off

Job summary

RXinsider LTD. in the United States (Quincy, IL) seeks a Specialty Pharmacy Technician Liaison to establish strong partnerships with health system clients and support the on-site Pharmacy Team.

You will assist in preparation and dispensing, provide customer service, and ensure regulatory compliance. Key duties include coordinating care with providers, obtaining prior authorizations, and maintaining thorough records.

Qualifications

• High School diploma or GED required.
• 1 year experience as Pharmacy Technician or related healthcare role.
• Must obtain IL & MO Pharmacy Technician license within 90 days.

Responsibilities

• Establish and maintain partnership with health system client.
• Facilitate clear and timely communication about medication orders.
• Coordinate patient care, prior authorizations, and medication delivery.
• Verify insurance coverage and ensure regulatory compliance.
• Document patient interactions, orders, and communications.
• Support quality improvement initiatives and on-site pharmacy team.
• Serve as Pharmacy Technician during absences and perform related duties.

Skills

Communication skills

Interpersonal skills

Organizational skills

Phone communication

Data entry

Prior authorizations

Education

High School diploma or GED

Pharmacy Technician license (IL/MO)

Tools

Clinical management software

Job description

The primary responsibility is to establish and maintain a strong partnership with the health system client. This involves regular communication to understand their specific needs and requirements. The Specialty Pharmacy Technician Liaison also plays a crucial role in supporting the on-site Pharmacy Team. This includes and not limited to assisting in the preparation and dispensing of medications, providing customer service, and ensuring accuracy and adherence to all relevant regulations and guidelines.

Essential Functions

• Facilitating Communication: Act as a point of contact for healthcare providers and patients, ensuring clear and timely communication regarding medication orders, refills, and treatment plans.
• Coordinating Care: Collaborate with healthcare providers to coordinate patient care, including scheduling appointments, obtaining prior authorizations, and arranging for medication delivery or pickup.
• Ensuring Compliance: Verify insurance coverage, assist with prior authorization processes, and ensure compliance with state and federal regulations related to specialty medications.
• Resolving Issues: Address any issues or concerns that arise during the course of treatment, such as medication side effects, insurance coverage disputes, or difficulties with medication access.
• Maintaining Records: Keep detailed records of patient interactions, medication orders, and insurance communications to ensure accurate and thorough documentation.
• Supporting Quality Improvement: Participate in quality improvement initiatives to enhance the overall quality of care provided by the specialty pharmacy.
• Pharmacy Technician Duties: Responsible for functioning as a Pharmacy Technician during the absences of the Pharmacy Technicians.
• Undertake additional tasks as required.

Minimum Qualifications

• High School diploma or GED
• At least 1 year experience working as a Pharmacy Technician; or in a Medical Office; or within the Healthcare industry.
• Must be willing to obtain IL & MO State Pharmacy Technician license within 90 days of hire.

Preferred Qualifications

• Active Nationally Certified Pharmacy Technician (CPhT): PTCB or ExCPT certifications accepted.
• At least 3 years' experience working within a specialty pharmacy environment.
• Experience submitting prior authorizations.
• Experience interacting with patients recently prescribed specialty therapies.
• Experience utilizing clinical patient management software (i.e., patient enrollment, scheduling, etc.)
• Experience in a specialty pharmacy accredited environment (i.e. URAC/ACHC).
• Experience interacting with provider groups, communicating status updates and ensuring patient experience.
• Experience with the 340B program.

COMPETENCIES

• Strong communication, interpersonal and organizational skills to effectively liaise with patients, healthcare providers, and insurance companies.
• Demonstrates empathy and understanding in resolving customer service matters.
• Extremely detail oriented and able to multi-task.
• Proficiency in using relevant software and systems for submitting and documenting prior authorizations for specialty medications.
• Strong, comprehensive knowledge of benefits investigation procedures and criteria.
• Skilled in engaging with provider groups, maintaining clear communication regarding patient status, and prioritizing an excellent patient experience.
• Understanding of REMS programs relevant to specialty pharmaceutical products.
• Understands the Limited distribution process for specialty pharmaceutical products.
• Ability to interact and communicate with people over the phone.
• Capacity to work independently.
• Basic data entry and/or work processing skills.
• Ability to verify data input and correct errors.
• Reads and accurately interprets documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Performs mathematics operations, including addition, subtraction, multiplication, and division, with whole numbers, fractions, and decimals.
• Calculates rates, ratios, and percentages accurately.
• Utilizes logical reasoning and comprehension to execute instructions provided in written, oral, or diagrammatic form.

Base Compensation: $24.00 to $27.00

(Actual compensation is subject to variation due to such factors as location, education, experience, and skillset. We offer a comprehensive benefits package, including medical, dental and vision plans covering eligible US employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and paid time off.)