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Technician-Specialty Pharmacy Job Code 22773 FLSA Status Job Family PHARMACY PROCESSLEVEL Job Description Title Technician-Specialty Pharmacy Job Summary Job Summary This position is focused on providing exceptional care to patients, working closing with providers and leveraging various resources to ensure patients are getting the most out of their specialty pharmacy services. The Pharmacy Technician - Specialty Pharmacy is responsible for dispensing and packing pharmaceuticals for BSP patients under the supervision of a licensed pharmacist and in accordance with dispensing regulations and established guidelines. This team member is also responsible for supporting pharmacists to manage prior authorizations and assist patients to obtain financial assistance for their prescriptions. The individual in this position supports the BSP Director, BSP Pharmacy Staff and Clinical Pharmacists to ensure that all duties as assigned are fulfilled accordingly. Required Population Served Job Responsibilities Job Responsibilities • Conducts the benefits investigation process, including coordination with payers to investigate and verify terms of patient coverage and out-of-pocket costs • Provide timely and accurate information regarding coverage and cost to patients and BSP team members • Initiate and manage prior authorization process for new specialty prescriptions and prospectively track expiring authorizations, obtaining renewals as needed to prevent gaps in treatment • Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs • Understand The Centers for Medicare & Medicaid Services (CMS) regulations and billing guidelines and complete required training pursuant to BSP policies and procedures (e.g., fraud, waste, and abuse training) • Answer insurance and billing questions and provide feedback to management regarding contracting opportunities and process improvements • Obtain all necessary paperwork and financial information needed for patients seeking financial assistance • Conduct research on all available sources of funding and resources available for each particular BSP patient scenario • Responsible for daily billing operations, such as submission of claims (electronic and paper), patient statements, follow-up and resolution of nonpayment, denials, and prior authorization requests • Work timely to resolve urgent requests from patients, caregivers, and medical/nursing staff • Process new and refill prescriptions accurately, through the proper use of equipment and techniques, based on BSP policies and procedures for prescription entry and dispensing • Provide superb customer service when communicating with patients and when communicating with medical/nursing staff to obtain key information needed to allow for dispensation of medication • Monitor required areas for outdates, cleanliness, organization, and drug/supply stock levels • Maintain, purchase and organize inventory supply in a manner which minimizes inventory storage cost, wastage, and stock-outs • Ensure inventory is rotated properly, stored in appropriate conditions and location with 100% accuracy • Prepare medication in a manner that minimizes cost due to wastage • Participate in departmental process or quality improvement initiatives. • Understand and maintain all federal and state regulations and policies and procedures applicable to HIPAA practices and patient confidentiality • Document all activity and communication within designated documentation system • Interact with patients over the phone to coordinate prescription refill(s), specialty prescription deliveries, maintain updated billing information and patient address • Complete special projects as assigned by supervisor Specifications Experience Description Minimum Required Preferred/Desired 5 years experience in outpatient pharmacy or clinic setting Education Description Minimum Required Preferred/Desired Training Description Minimum Required Preferred/Desired Special Skills Description Minimum Required Preferred/Desired Licensure Description Minimum Required Preferred/Desired Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT) Reporting Relationships Does this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. Reporting Relationships No Work Environment Functional Demands Label Short Description Full Description Sedentary Very light energy level Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cart Light Moderate energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher) Medium High energy level Lift and carry 40-50lbs. Push/pull +/- 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient) Heavy Very high energy level Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer. Functional Demands Rating Sedentary Activity Level Throughout Workday Physical Activity Requirements - Sitting Occasional Physical Activity Requirements - Standing Occasional Physical Activity Requirements - Walking Occasional Physical Activity Requirements - Climbing (e.g., stairs or ladders) Occasional Physical Activity Requirements - Carry objects Occasional Physical Activity Requirements - Push/Pull Occasional Physical Activity Requirements - Twisting Occasional Physical Activity Requirements - Bending Occasional Physical Activity Requirements - Reaching Forward Occasional Physical Activity Requirements - Reaching Overhead Occasional Physical Activity Requirements - Squat/Kneel/Crawl Occasional Physical Activity Requirements - Wrist position deviation Occasional Physical Activity Requirements - Pinching/fine motor activities Occasional Physical Activity Requirements - Keyboard use/repetitive motion Occasional Physical Activity Requirements - Taste or smell Physical Activity Requirements - Talk or hear Continuous Sensory Requirements Color Discrimination Near Vision Far Vision Depth Perception Hearing Yes Accurate Accurate Minimal Minimal Environmental Requirements - Blood-Borne Pathogens Anticipated Environmental Requirements - Chemical Anticipated Environmental Requirements - Airborne Communicable Diseases Anticipated Environmental Requirements - Extreme Temperatures Anticipated Environmental Requirements - Radiation Anticipated Environmental Requirements - Uneven Surfaces or Elevations Anticipated Environmental Requirements - Extreme Noise Levels Anticipated Environmental Requirements - Dust/Particular Matter Anticipated Environmental Requirements - Other