Non-Retail Pharmacy Technician - Intake

About the job

Additional Considerations (if any):

• At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions.

• Seeking to hire a Certified Pharmacy Technician or the right candidate to join our Pharmacy Technician Apprenticeship Program. When enrolling in our Apprenticeship program you will enjoy paid training, hands-on experience, and full support to become a Certified Pharmacy Technician. We'll provide study materials and cover the initial certification exam fee once you qualify.
• Monday-Friday (NO WEEKENDS!)

• Hours: 8am - 5pm CST / O ccasional Rotating 10am - 7pm shift

• Wages: Hourly $20.00 to $24.00

• Six paid holidays

• Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.

Amber Specialty Pharmacy

Job Title: Patient Access Technician Intake

Department : Operations

FLSA : Non-Exempt

General Functions

Responsible for the day-to-day customer service activities and support of specifically assigned clients and customers. Responsible for new patient intake, benefits investigation, initiating prior authorizations, and documentation of interaction with all sources. Provides excellent customer service to all interactions.

Reporting Relations

Reports to : Patient Access Specialist Intake Lead

Direct Reports : None

Primary Responsibilities :

• Responsible for routing all incoming documentation for new patients, refills , and additional documentation for Specialty and Infusion pharmacy.

• Explains all Company programs and services to Referral sources and provider’s office staff regarding what to expect with Company services, contents of shipments , and patient rights.

• Acts as a liaison between Company, insurance, Pharma, co-pay assistance sources , and provider’s offices via phone, fax , and e-mail communications.

• Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities.

• Creates patient’s estimated cost of benefits with all pertinent information and attaches to record for use by customer care center of excellence.

• Notifies appropriate staff of relevant information gathered during calls to provider s or patient s that may affect a patient’s disease state, medication regimen or method of funding.

• Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact.

• Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma.

• Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, initiation of discharge, patient letter mailings, or other reminders as it relates to the patient’s care.

• Must maintain the established workflow within the Patient Care Access Department and adhere to the company/department’s Policy and Procedure manual.

• Responsible for coordinating manufacturer or nursing agency support when home teaching is required .

• Must maintain referral log on a daily basis and update with all pertinent information.

• Responsible for completing patient’s Estimated Cost of Benefits and able to explain to patient and others in the organization.

• Must be able to perform complete benefits investigation, including prior authorization and medical vs pharmacy determination. The individual will also need to complete all payer documentation , including Medicare Certificates of Medical Necessity and DME Information Forms .

• Contacts referring nurses/coordinators according to the assigned team regarding insurance verification findings and patient issues , and status updates.

• Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Policy and Procedure manual .

• This is an office- based position.

Professional Competencies :

• Proficient with MS Excel, Word, and Outlook

• Demonstrated ability to meet tight deadlines

• Must be detail oriented with a high degree of accuracy

• Ability to work with all levels of internal management and staff, as well as outside clients and vendors

• Working knowledge of Medicare, Medicaid , and Commercial Insurance related to pharmacy billing, prior authorizations, insurance verification, and medical terminology preferred

• Must be knowledgeable in Medicare, Medicaid, Commercial insurance, and renal programs and how they apply to transplant and specialty patients

• Knowledgeable in the process of insurance verification and online prescription adjudication

Educational and Experience Requirements:

• High school diploma or equivalent

Licensure and Certification Requirements:

• Current unrestricted state pharmacy technician registration/licensure

• National or state pharmacy technician certification per applicable State Board of Pharmacy requirements

Contacts :

Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, insurance providers, payers, vendors, and customers. This is not an exhaustive list of contacts and is subject to changes and alternatives.

Confidentiality :

The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role.

Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).

Apply now and join our mission to provide exceptional patient care!