Professional Arts Pharmacy has proven to be an advocate for patient access to specialty prescriptions. Specialty Pharmacy Technicians interact with insurance companies, patients and internal partners to ensure the processing of specialty medications in a timely manner and to ensure all financial and clinical expectations are being met prior to fulfillment.

Responsibilities and Duties

• Process prescriptions through insurance with attention to detail, ensuring all documentation is present and accurate, and that all federal and state regulations are met.

• Navigate through complex prescription insurance billing, prior authorization requirements, and therapeutic alternatives.

• Investigate patient insurance benefits and other supplemental payor information in order to maximize prescription medication funding and minimize out-of-pocket patient expenses.

• Support the approval process as needed for patients’ primary insurance, worker’s compensation or Prescription Assistance Programs to determine the best solution for each prescription.

• Review and triage clinical information gathered during calls to the prescriber, pharmacist or patient that may affect a patient’s disease state, medication regimen, or method of funding.

• Anticipate prescriber and customer needs and resolve issues quickly by finding forward thinking solutions and determining what can be done to fulfill a request.

• Deliver professional and friendly communications and act as a knowledgeable resource to prescriber offices to ensure optimal patient outcome.

• Maintain knowledge of the products, services and unique regulations affecting compounding and specialty pharmacy’s unique prescription fulfillment process.

• Seek opportunities for continuous learning and personal growth to increase credibility with prescribers and customers.

• Understand the complex needs of patients and answer patient questions regarding topics such as pricing, shipping, or delivery devices with patience and empathy.

• Make every attempt for timely patient contact to obtain or confirm patients’ demographic information, verify insurance coverage and answer patients’ questions about the fulfillment process.

• Effectively communicate patients’ payment terms and provide options to fulfill each patient’s specific needs in order to keep their drugs costs as low as possible.

• Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries.

Required Qualifications

• High school diploma or GED equivalent.

• Active Pharmacy Technician License in the State of Louisiana.

• Not on the DEA Excluded Parties List.

• No pending felony charges or convictions for criminal offenses involving controlled

substances.

Required Skills

• Handling patient information with accuracy and confidentiality.

• Excellent time management skills and ability to multi-task and prioritize work.

• Attention to detail and problem-solving skills.

• Excellent written and verbal communication skills.

• Strong organizational and planning skills.

• Ability to work well in a team environment.