
Pharmacy Technician II - Patient Assistance Program
- Durham, NC
- Permanent
- Full-time
- Monday - Friday
- 8:30 am -5:00 pm
- Establish clinic, pharmacy, and patient relationships conducive to effective patient care
- Receive referrals to complete medication prior authorizations from clinic staff, providers, and patients
- Verify prescription insurance benefits and/or medical benefits are currently active for patients
- Complete benefits investigations to determine coverage level and patient responsibility
- Submit required forms and documentation to insurance companies via phone/fax and/or web portals
- Follow up on requests to receive determination decisions in a timely manner
- Communicate and document all status updates to patients, providers, and pharmacies
- Assists self-pay and underinsured patients in obtaining costly medications primarily from drug manufacturer replacement programs and manufacturer assistance programs.
- Coordinates and assists the clinic financial care counselors and social workers in identifying eligible patients.
- Works with the Patient Revenue Management Organization to assist in drug replacement for insured patients with drug denials.
- Coordinate and deliver medications to patients being discharged from the hospital.
- Provide education using pill boxes with medication sheets.
- Forwards credits to Pharmacy Financial Management Team for assisted patients.
- Interviews potential patients for assistance and collect all financial forms related to the self-pay status.
- Prepare prescriptions for a pharmacist to check pursuant to a physician order.
- Inputs patient information (including insurance information) into WAM.
- Works with clinical pharmacists to follow patient management program requirements
- Provides input into and participates in quality improvement activities
- Other duties as appropriate for this position
- High school diploma or equivalent and completion of an accredited pharmacy technician training program.
- Acceptance into pharmacy school.
- High school diploma or equivalent and one year of pharmacy or healthcare-related experience.
- Minimum of one year related experience.
- Two years of experience as a pharmacy technician preferred
- North Carolina Board of Pharmacy registration is required.
- Pharmacy Technician certification is required from the Pharmacy Technician Certification Board (PTCB) or The Exam for the Certification of Pharmacy Technicians (ExCPT).