Pharmacy Support Specialist

Job Description

Job Description

Position Summary  

The Pharmacy Support Specialist performs functions to obtain and process prescriptions to prepare the pharmacy fulfillment team to dispense and ship medications, while working within the limits of established policies. 

Primary Responsibilities   

• Communicate by phone and email with patients, facilities, payors, and prescribers regarding issues concerning prescriptions and obtain proper authorizations and prescription details to refill prescriptions. 
• Provide support to Pharmacists by entering prescription information, submitting claims for payment, and handling facility and patient questions and concerns regarding medications and delivery. Follow REMS dispensing requirements and document required information per company policy. 
• Manage patient profiles including updated medication lists and any changes that are pertinent to the patient’s medication regimen. Gather and document demographics to be used to fill prescriptions as well as to coordinate billing of medications to be dispensed by the pharmacy. 
• Assist in the prior authorization process to expedite prescription fulfillment. Provide support in benefits investigation for third party billing and adjudication. Contact insurance carriers and gather necessary information as required by specific programs or contracts.  
• Contact facilities, prescriber offices, and patients to arrange medication deliveries. 
• Partner with internal teams to obtain required information for processing prescriptions and assist with dispensing and packaging of medications as needed.   
• Monitor and triage incoming faxes/documents to expedite processing of patient orders.   
• Maintain knowledge of pharmacy metrics and quality expectations and adhere to company, federal, state, and accreditation pharmacy workflow and dispensing standards and regulations.  
• Perform other related duties as assigned. 

 
Key Skills   

• Proven experience as a highly effective communicator with internal and external customers; includes listening, speaking, understanding, and writing in English. 
• Demonstrated ability to model superior customer service resulting in improved customer satisfaction and enduring business relationships with patients, facilities, prescribers, and internal team members.  
• Proficient in MS Office Suite (Word, Excel, Outlook, Teams) and demonstrated ability to work effectively with pharmacy applications.  
• Experience in handling claim rejections and working through the prior authorization process to ensure timely approvals and successful resolution of issues.  
• Demonstrated ability to work independently on assigned tasks or in a team setting while focused on detail, accuracy, safety and productivity. 
• Ability to track and monitor progress of workflows to maintain timely delivery of medications.  
• Working knowledge of medical terminology, medication names, and pharmacy sig codes. 
• Ability to sit for extended periods while remaining able to actively listen and communicate verbally with patients, facilities, prescribers, and team members. 

Education/Experience Requirements 

• High School Diploma or equivalent required.   
• Active and in good standing pharmacy technician licensure through Board of Pharmacy for state(s) of jurisdiction, where required. National certification highly preferred.  
• One year’s experience working in a pharmacy with knowledge of pharmacy sig codes, medications, and electronic claim submissions strongly preferred.