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Trinity Health Pharmacy Specialty Medication Technician . Full Time in Maywood, Illinois

Employment Type:Full timeShift:

Description:

The purpose of this position is to assist the Specialty Medication Pharmacist or their designee, with providing support for patients receiving specialty pharmaceuticals within the Loyola University Health System. Under the supervision of a pharmacist, the technician will be responsible for processing new and refill specialty orders including verifying and re-verifying pharmacy benefits, assisting patients with reimbursement issues, continuous follow-up with the specialty pharmacy, and keeping providers aware of prescription processing.

  1. Insurance Authorization: Work closely with the pharmacist and provider

to prepare and obtain insurance prior authorizations for specialty

medications. Pursue appeal for insurance denials when needed.

Maintain continuous communication with specialty pharmacy to update

status of medication order. Perform all documentation needed and

follow-up on problems or issues needing to be resolved.

  1. Reimbursement Services: Assist patients with enrollment in financial

assistance programs including third party, manufacturer and locally

funded plans. Follow up with funding programs to confirm patient

eligibility and gather all required reporting and documentation. Contact

patient, pharmacist and provider regarding status of financial assistance

applications and funding available.

  1. Communication: Communicate effectively with insurance companies and

internal and external health care providers. Screen, identify and resolve

clinical or processing issues related to specialty medications. Provide

telephone support to patients receiving specialty medications.

Document all patient interactions. Gather relevant patient-specific

information and transmit to specialty pharmacy as directed by the

pharmacist.

  1. Quality control: Participate in quality improvement and quality

assurance programs to monitor performance of services as requested

by the Specialty Medication Pharmacist.

  1. Off-campus services: Assist off-campus LUHS providers and

pharmacists with processing and access to specialty medications. This

shall include prior authorizations, denial appeals, financial assistance

and communication with specialty pharmacy.

Position Requirements:

Minimum Education:

Required: High School Diploma plus training acquired through work experience or education

Preferred: Associates Degree OR equivalent training acquired via work experience or education

Specify Degree(s): Pharmacy Technician

Minimum Experience:

Required: 1-2 years of previous job-related experience

Preferred: 3-5 years of previous job-related experience

Details: Retail pharmacy technician; experience with adjudicating prescription drugs, corresponding with insurance companies and processing payments, STRONGLY preferred. Familiarity with specialty pharmacy products and operations preferred.

Licensure/Certifications:

Required: Certified Pharmacy Technician (CPhT)

Preferred: N/A

Other:

Exception: Certification required within six months if two or more years' Specialty Pharmacy Tech experience.

Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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