Pharmacy Technician Specialist-Specialty Pharmacy Call Center, Full-time Days

The Pharmacy Technician Specialist reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.

Specialty Pharmacy Specific Responsibilities:

• Identify research and resolve issues and consumer complaints
• Check incoming prescriptions for completeness of all required information needed for processing
• Possess working knowledge of participating third-party payors and their requirements
• Establish and maintain open communication with pharmacy operations analysts regarding third-party billing issues and centralized procurement team regarding ordering and inventory matters
• Assists with prescription audits as needed
• Educate pharmacy staff regarding third-party billing policies and procedures as needed
• Answers and triages patient provider and third-party calls to appropriate individuals adhering to phone scripts in a courteous and professional manner
• Contact payers for lost medication replacement or vacation overrides
• Troubleshoot and resolve billing rejections and subsequently rebill claims to appropriate carriers for all commercial federal and state insurance plans
• Verify and accurately update patient demographic information in appropriate system(s)
• Document patients insurance information in appropriate system(s)
• Refer and document any clinical questions regarding prescriptions drug information or health conditions requiring follow-up to a pharmacist
• Utilize case management and pharmacy software systems to schedule prescription refills and adjudicate claims
• Coordinate prescription orders accurately and appropriately including but not limited to ready at date time and shipping/delivery method
• Perform point-of-sale functions
• Understand and adhere to drug specific Risk Evaluation and Mitigation Strategies (REMS) requirement and identify what is needed for REMS fulfillment. Complete any REMS forms and authorizations required from the pharmacy. Print drug-specific medication guides to be dispensed with prescription when needed
• Complete prescription return-to-stock reports in a timely manner to meet compliance requirements
• Access input and retrieve information on pharmacy computer system to create labels for prescriptions
• Possess thorough understanding of the processes and procedures for shipping patients medications and can independently resolve any complications
• Spend 5% of time on quality management of the program

• Supports the Northwestern Medicine Ambulatory Pharmacy team to enhance workflow for clinical pharmacy services throughout the network
• Responsible for providing access to medications for patients by completing Prior Authorization Requests co-pay assistance programs medication assistance programs and benefits investigation
• Coordinates with third-party insurance clinical staff and patients to effectively process prior authorization requests for medications within the prescribed timelines
• Directly enrolls eligible patients into manufacturer patient assistance co-pay programs

Pharmacy Technician Specialist Job Responsibilities:

• Initiates and facilitates all drug purchasing for the pharmacy department.
• Monitors stock levels; evaluates previous purchasing and utilization patterns and anticipates needs.
• Maintains appropriate drug inventories.
• Coordinates the receipt of all deliveries restocks storage areas and rotates stock as necessary.
• Develops and maintains sources and mechanisms to obtain drug supplies on an emergency basis interacting with local hospitals pharmacies alternative vendors etc.
• Facilitates all returns and credits of expired or unneeded drugs.
• Takes appropriate action on drug recalls.
• Processes inter-department billing. Performs monthly pharmacy unit inspections.
• Prepares medications and floor stock for delivery to various hospital departments and nursing units.
• Rectifies with vendors all problems associated with receipt of orders back orders shipping errors and incorrect pricing.
• Maintains purchasing records including invoices purchase orders catalogs and historical records.
• Prepares and distributes purchasing reports for the department.
• Assists in maintaining the pharmacy technician schedule.
• Assists in the development and training of new pharmacy technicians.
• Proficient in performing all duties of pharmacy technician including sterile compounding of IV admixtures injections and infusions.
• Assists in weekly narcotic audits to insure accurate narcotic record keeping.
• Works with the pharmacy manager or director to identify areas of improvement in the workflow or inventory control of the pharmacy.

Qualifications :

Required:

• High School Diploma or equivalent
• Pharmacy Technician License (IDFPR)
• Certified Pharmacy Technician (CPhT) certification through PTCB or NHA
• At least 2 years specialized or technical training 

Additional Information :

Northwestern Medicine is an affirmative action/equal opportunity employer 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.

If we offer you a job we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.

Benefits

We 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. Please visit our Benefits section to learn more.

Remote Work :

No

Employment Type :

Full-time