Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Medication Therapy Management Prior Authorization Pharmaceutical Storage Financial Needs Assessment Medical Devices Data Entry Business Process Improvement Medical Office Procedures Claims And Litigation Management Patient Education And Counseling Plan Of Action And Milestones (POA&M)

Other Skills

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Microsoft Excel
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Microsoft Word
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Client Confidentiality
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Accountability
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Active Listening
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Interpersonal Communications
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Teamwork
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Telephone Skills
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Organizational Skills
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Detail Oriented
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Reliability
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Empathy

Roles & Responsibilities

State-registered Pharmacy Technician
National certification as a CPhT or equivalent strongly preferred but not required
2-3 years of experience as a Pharmacy Technician (3-5 years preferred)
High School Diploma or GED

Requirements:

Provide off-site, full-suite medication management services including prior authorization, financial assistance, patient onboarding, and refill/renewal support.
Educate prospective patients about hospital pharmacy services and how they improve overall care.
Review insurance issues and complete benefit investigations, including prior authorizations, and secure financial assistance when available.
Document patient information in the hospital EMR and Shields tools; monitor medication adherence, manage renewals, triage inquiries, and participate in process improvement while maintaining confidentiality.

Job description

Job Purpose:

Provides integrated off-site support to patients, pharmacists, and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services.

Job Duties:

Provide “legendary” care to hospital patients by providing a full suite of custom medication management services.
An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support.
Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care.
Handle all medication needs of patients.
Grow the specialty pharmacies patient population by strictly adhering to Shields’ programs and processes with enthusiasm and purpose.
Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider.
Review the patients need for financial assistance and secure financial assistance when needed and available.
Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required.
Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups, refill prescription.
Secure prescription renewals.
Communicate directly with patients to assist them in the awareness of their medications
Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication.
Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids.
Answer, resolve and triage inbound inquiries.
Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up.
Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
Actively participate in process improvement initiatives.
Protect organization's value by keeping information confidential.
Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations.
Other duties as assigned.

Skills: Strong interpersonal communication skills, exceptional phone skills, comfortable with proactively engaging patients telephonically, comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other programs, adapt to Shields’ unique model / tools and able to extract relevant information; strong organizational skills a must.

Traits: Organized, high-integrity, high accountability, attention to detail, dependable, quality focus, empathetic, good listener/communicator, collaborative, consistently arrives to work on-time with minimal unscheduled time off.

Other: Energetic, highly motivated, team player with strong personal and communication skills, ability to sit and/or stand with focus at a workstation for a long period of time; discretion and confidentiality essential as position deals with highly sensitive and private data.

Specialties Experience and knowledge in working in one or more of the following disease states a plus: transplant, hepatitis C, infectious disease (including HIV), diabetes, MS, oncology.

Education/Experience:

Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.

Years of Experience: Required 2-3 years, Preferred 3-5 years’ experience as a Pharmacy Technician.

Education: High School Diploma or GED required.

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