Pharmacy Technician Specialist-Specialty Pharmacy Medication Access, Full-time Days

Pharmacy Technician Specialist-Specialty Pharmacy Medication Access, Full-time DaysAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?The Pharmacy Technician Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.Under the direction of a registered pharmacist, performs all technical duties associated with the daily operation of the dispensing areas; performs prescription-related, unit dose-related, and sterile product-related functions; performs manufacturing procedures that have been documented in the Department records.Responsibilities:Coordinates and effectively communicates with management, co-workers, customers, and other healthcare professionals regarding changes to workflows, updates, backorder, and new drug information when/where appropriateResponsible for providing access to medications for patients by completing Prior Authorization Requests, co-pay assistance programs, medication assistance programs, and benefits investigationCoordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelinesDirectly enrolls eligible patients into manufacturer patient assistance co-pay programsIdentify, research, and resolve issues and consumer complaintsCheck incoming prescriptions for completeness of all required information needed for processingPossess working knowledge of participating third-party payors and their requirementsEstablish and maintain open communication with pharmacy operations analysts regarding third-party billing issues and centralized procurement team regarding ordering and inventory mattersAssists with prescription audits as neededEducate pharmacy staff regarding third-party billing policies and procedures as neededAnswers and triages patient, provider, and third-party calls to appropriate individuals adhering to phone scripts in a courteous and professional mannerContact payers for lost medication, replacement, or vacation overridesTroubleshoot and resolve billing rejections and subsequently rebill claims to appropriate carriers for all commercial, federal, and state insurance plansVerify and accurately update patient demographic information in appropriate system(s)Document patient's insurance information in appropriate system(s)Refer and document any clinical questions regarding prescriptions, drug information, or health conditions requiring follow-up to a pharmacistSpend ? 5% of time on quality management of the programPerforms the duties and responsibilities of a Pharmacy Technician at advanced level.Leads performance improvement initiativesLiaison between pharmacy and other departmentsAssists with/coordinates pharmacy technician schedule, services, prioritizing assignments and workflow, and promoting situational decision making/problem solvingFosters a team environment by providing education and trainingMaintains documentation of completion for media fill and fingertip testingParticipates in site meetings (i.e. Drug Shortage, huddles, staff meetings)Responsible for controlled substance receiving, reconciliation, discrepancy tracking, and investigationsPerforms minor repairs of ADS machinesParticipates in projects as assigned by managerHandles recalls, crash carts monitoring, and kitcheck orderingTroubleshootingRestocksPerforms Tech-Check-Tech (i.e. automated dispensing cabinet (ADC) runs/controlled substance in ADC; barcode scanned pills, pre-mixed IV bags)Other duties as assignedMinimum Requirements:Education:High School diploma or GED equivalentLicensure:Active Illinois Pharmacy Technician License (IDFPR)Pharmacy Technician licenses issued after 12/31/07 must have either CERTIFIED or STUDENT designation by their second license renew in accordance with Section 9 of the Illinois Pharmacy Practice ActLicensed Technicians prior to 1/1/2008 certification requirement must meet department skill levelCertification:Specialty Pharmacy: Certified Pharmacy Technician through PTCB or ExCPT through NHAExperience:1-2 years' technician experiencePrevious experience as a Pharmacy Technician in a hospital or outpatient settingPhysical Demands:Excellent critical thinking skills, decisive judgement, and the ability to work with minimal supervisionPreferred:Minimum 5 years' technician experienceNorthwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.Background CheckNorthwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.Artificial Intelligence DisclosureArtificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.BenefitsWe offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Northwestern Medicine Central DuPage Hospital