Specialty Pharmacy Technician

Technician-Specialty PharmacyThis position is focused on providing exceptional care to patients, working closely 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.Job Responsibilities:Conducts the benefits investigation process, including coordination with payers to investigate and verify terms of patient coverage and out-of-pocket costsProvide timely and accurate information regarding coverage and cost to patients and BSP team membersInitiate and manage prior authorization process for new specialty prescriptions and prospectively track expiring authorizations, obtaining renewals as needed to prevent gaps in treatmentSupport BSP pharmacists to manage the appeals process for patients and ensure timely communication occursUnderstand 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 improvementsObtain all necessary paperwork and financial information needed for patients seeking financial assistanceConduct research on all available sources of funding and resources available for each particular BSP patient scenarioResponsible for daily billing operations, such as submission of claims (electronic and paper), patient statements, follow-up and resolution of nonpayment, denials, and prior authorization requestsWork timely to resolve urgent requests from patients, caregivers, and medical/nursing staffProcess new and refill prescriptions accurately, through the proper use of equipment and techniques, based on BSP policies and procedures for prescription entry and dispensingProvide superb customer service when communicating with patients and when communicating with medical/nursing staff to obtain key information needed to allow for dispensation of medicationMonitor required areas for outdates, cleanliness, organization, and drug/supply stock levelsMaintain, purchase and organize inventory supply in a manner which minimizes inventory storage cost, wastage, and stock-outsEnsure inventory is rotated properly, stored in appropriate conditions and location with 100% accuracyPrepare medication in a manner that minimizes cost due to wastageParticipate in departmental process or quality improvement initiativesUnderstand and maintain all federal and state regulations and policies and procedures applicable to HIPAA practices and patient confidentialityDocument all activity and communication within designated documentation systemInteract with patients over the phone to coordinate prescription refill(s), specialty prescription deliveries, maintain updated billing information and patient addressComplete special projects as assigned by supervisor