Pharmacy Technician - Specialty Call Center

Pharmacy Technician - Specialty Call Center

Under the supervision of a pharmacist, the Specialty Pharmacy Technician is responsible for the data entry of required information from the prescription and patient profile in order to process and adjudicate prescriptions. Initiates prior authorizations, and communicates with third party payers on behalf of the physician and patient. Responsible for finding and applying manufacturer copay cards and initiating patient assistance and co-pay assistance applications. Proactively reaches out to patients to manage refills and schedule necessary current and future assessments.

*This position is eligible for a sign-on bonus of $2,500*

Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

Under pharmacist supervision, the Specialty Pharmacy Technician is responsible for three subgroups of patients (Hematology/Oncology, Inflammatory and Infectious Disease and Cardiology) is responsible for data entry of required information from the prescription and patient profile to process and adjudicate prescriptions. They initiate prior authorizations, coordinate with third-party payers, apply manufacturer copay cards and assist with financial aid applications. The technician also contacts patients to manage refills and schedule assessments.

Caregivers in this role will complete an initial onsite orientation and training period at the Cleveland Clinic Administrative Campus for approximately 3090 days. Following successful completion of training, a hybrid or remote work option may be available based on departmental needs. This position is full-time, 8-hour shifts, Monday through Friday, scheduled between 7:00 a.m. and 6:00 p.m. Due to occasional onsite requirements, candidates must reside within a commutable distance (approximately one hour) of the Cleveland Clinic Administrative Campus.

A caregiver who excels in this role will:

• Initiate prior authorizations and communicates with third party payers on behalf of the physician and patient.
• Find and apply manufacturer co-pay cards and initiate patient assistance and co-pay assistance applications.
• Reach out to patients to manage refills and schedule necessary current and future assessments.
• Ensure the accuracy of prescription and patient data entered various systems by verifying patient, drug, quantities, directions, day's supply, insurance and physician data.
• Conduct a thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims.
• Explain benefit coverage and financial responsibilities to the patients.
• Supply financial assistance contact information and/or initiates patient assistance and copay assistance applications on behalf of the patients.
• Resolve aspects of specialty pharmacy insurances, including Medicare, Medicaid, Pharmacy Benefit Managers (PBM), and Preferred Provider Organizations (PPO) and communicates with payors and advises patients or physician of results as needed.
• Communicate with patients professionally and customer-friendly to schedule the delivery of new and refilled medications and supplies.
• Utilize all pharmacy systems to review patient profiles, enter changes and establish assessment schedules.
• Document all patient/client/provider contact in appropriate computer systems.

Minimum qualifications for the ideal future caregiver include:

• High school diploma or equivalent
• Upon hire, must be a Certified Pharmacy Technician (CPhT) through the Pharmacy Technician Certification Board (PTCB) OR the National HealthCareer Association (NHA).
• In addition, it is required to hold an active registration through the Ohio Board of Pharmacy (OBOP) as either a Certified Pharmacy Technician, Registered Pharmacy Technician, or Pharmacy Technician Trainee.
• If current status with the Ohio Board of Pharmacy (OBOP) is Registered Pharmacy Technician or Pharmacy Technician Trainee it is required updating registration status to a Certified Pharmacy Technician with the OBOP within six months of hire.
• Must be detail-oriented and able to identify and develop solutions by applying appropriate pharmacy standards and policies

Preferred qualifications for the ideal future caregiver include:

• One year of experience in a pharmacy technician role

Physical Requirements:

• Typical physical demands include ability to perform the job while standing, reaching, stretching, stooping, and sitting for prolonged times.
• Manual dexterity sufficient to perform computer and dispensing functions of the job.
• Ability to lift up to 20pounds while walking, stooping, bending and reaching.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration:

Please review the Equal Employment Opportunity poster.

Cleveland Clinic is pleased to be an equal employment opportunity employer.