Medication Access Technician - Specialty Pharmacy

Job Title

Ensures timely and efficient access to select medications, conducts benefits investigations, submits prior authorizations, and assists with denial management. Collaborates to streamline communication, resolve access issues, and provide exceptional customer service.

Essential Functions:

• Performs benefits investigations and submits prior authorizations for select medications and clinics within the organization.
• Provides support for prior authorization denial management including appeals, patient assistance program applications, and claims review, as needed.
• Assists clinic team members, patients, and caregivers with medication access to select medications. Works with external pharmacies and copay assistance programs, as needed.
• Gathers necessary information to support the medication access process. Documents clearly and appropriately within the electronic health record.
• Collaborates with pharmacy and clinic team members and external stakeholders (e.g., insurance providers) to ensure seamless and effective communication and coordination of care.

Education Requirement:

High school diploma or equivalent, required.

Licensure Requirement:

Registered with the Ohio Board of Pharmacy (Registered or Certified Pharmacy Technician), required.

Certifications:

Certification as a pharmacy technician or documented passing score on certification exam prior to start date (PTCB, ExCPT), required.

Skills:

• Effective interpersonal, verbal, and written communication skills.
• Ability to problem solve and work independently.
• A strong attention to detail to accurately document information.
• Strong sense of accountability to ensure alignment with processes and patient needs.

Experience:

• 2 years of experience as a pharmacy technician in a pharmacy area related to the position, preferred.
• Pharmacy or medical billing experience, preferred.

Physical Requirements:

OCCASIONALLY: Bend/twist, Chemicals/Medications, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Pushing / Pulling: 26-40 lbs, Squat/kneel, Standing, Walking

FREQUENTLY: Lifting / Carrying: 0-10 lbs

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Reaching above shoulder, Repetitive hand/arm use, Seeing Far/near, Sitting

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"