Pharmacy Tech Specialist

Responsibilities

• Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation.
• Monitors continued eligibility status and documents drug shipments received in computerized tracking system.
• Serves as a resource in facilitating resolution of insurance denial referrals.
• Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient assistance programs using verbal and written interpersonal communication skills.
• Requires ability to work independently and coordinate assigned projects efficiently.
• Effectively utilizes problem-solving ability, significant interpersonal contact and concentration abilities, analytical skills and in depth knowledge of computer software.
• Coordinates all information regarding patients enrolled in assistance programs for drug therapies using various computer software programs.
• Creates, expands and maintains computerized databases to support patient enrollment in assistance programs and tracks case specific assistance provided in response to reimbursement denials.
• Conducts patient interviews and conveys reimbursement denial potential to patient and medical staff.
• Reviews all outpatient 3rd party rejections and assists the patient in resolving the problem.
• Coordinates 3rd party billing, problems with eligibility, rejections, etc. with the Outpatient Pharmacy Supervisor and the Pharmacy Billing Section.

Texas State Board of Pharmacy registration required. National Certification as a Certified Pharmacy Technician (CPhT) is recommended. Three years experience in a medical or pharmacology related field to include project coordination; database/spreadsheet development and management; and/or application programming; processing and overseeing medical insurance billing and reimbursement cost capture. Must have demonstrated independent judgment.