Specialty Pharmacy Technician

Pay range: $26.55 - $33.19 hourly, varies on experience. Specialty Pharmacy - Bend, Oregon ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Specialty Pharmacy Technician REPORTS TO POSITION: Specialty Pharmacy Manager DEPARTMENT: Pharmacy DATE LAST REVIEWED: April 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The St. Charles Health System Pharmacy provides a broad range of hospital and outpatient pharmaceutical care services to deliver high quality, effective, safe, reliable, and affordable medication therapy for our patients. POSITION OVERVIEW: The Specialty Pharmacy Technician is responsible for actively and successfully navigating patient prescriptions, which may include, but not be limited to submitting prior authorizations, supporting providers by assisting with benefits investigation, submitting appeals, exploring patient medication assistance options, coordinating fulfillment of orders with dispensing pharmacy, and identifying/resolving barriers on behalf of the interdisciplinary care teams. This position does not directly manage other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Financial Assistance & Prior Authorization Performs insurance eligibility and verification of pharmacy benefits. Supports the specialty / ambulatory pharmacist in communicating with patients, healthcare providers, and insurance companies to request prior authorizations. Coordinates financial assistance, including co-pay assistance through grants and foundations, and manufacture assistance program enrollment and coordination. Collects and reports data for financial assistance and other metrics. Updates patient and claim documentation; performs daily billings, audits accounts for accurate submissions claims, and makes sure patient treatment reimbursements are processed effectively. Patient Management & Adherence Manages patients schedules for initial and follow-up visits with the Specialty / Ambulatory Pharmacist. Enrolls patients into the Pharmacy Patient Management Program as appropriate. Manages prescription renewals. Prescription Procurement & Fulfillment Coordinates fulfillment of specialty and/or complex medication prescription orders, including: Scheduling medication delivery with patients for initial and refill prescriptions Performing introductory and refill outreach calls with patients enrolled in the patient management program. Referring all patients to clinical pharmacist as appropriate Communicates effectively with the patient and clinical staff as needed for management of new orders and coordination of timely / appropriate refills. Monitors inventory to maintain appropriate stock of medications and supplies. Performs medication dispensing duties and other activities with scope of practice and is supervised by a pharmacist. Performs data collection, tracks metrics, and updates key performance indicators (KPIs). Confirms reimbursement, payment, and billing for medications dispensed by the pharmacy. All St. Charles Caregivers Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: High school diploma or GED. Preferred: N/A. LICENSURE/CERTIFICATION/REGISTRATION: Required: Pharmacy Technician license through the Oregon Board of Pharmacy. Preferred: Certified Pharmacy Technician license (CPhT) through the Oregon Board of Pharmacy. National certification through the Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA). EXPERIENCE: Required: Minimum three (3) years as a Pharmacy Technician. Preferred: Five (5) years as a Pharmacy Technician; Specialty Pharmacy, Patient Assistance, Prior Authorization experience. ADDITIONAL POSITION INFORMATION: SKILLS: Strong interpersonal communication skills, ability to work independently and demonstrate good judgement, strong verbal, and written communication, proficient in Microsoft Office particularly Excel and Word; able to quickly learn other software programs and able to extract relevant information; strong organizational/administrative skills. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, carrying 1-10 pounds, operation of a motor vehicle for caregivers that are couriers. Frequently (50%): Lifting 1-10 pounds, pushing or pulling 1-25 pounds, grasping/squeezing. Occasionally (25%): Sitting, bending, climbing stairs, lifting and carrying 11-25 pounds, use of clear and audible speaking voice and ability to hear normal speech level. Rarely (10%): Keyboard operation, stooping/kneeling/crouching, reaching overhead, pushing or pulling 25-50 pounds. Never (0%):  Climbing ladder/step-stool, lifting or carrying 25-50 pounds, whispered speech level, operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Heat, cold, wet/slippery area. Never (0%):  Noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: TECHNICIAN PHARMACY Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 7:30AM - 4:00PM St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. 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Salary : $27 - $33