Responsible for
securing patient data based upon comprehensive data elements, financial
education/counseling, insurance verification, provision of clinical
information for pre-certification, authorization and third party claims
management. Interviews patient for clinical, financial, and
history information and arranges appropriate clinical care. A Clinical
Pharmacy Technician will work independently gathering and submitted patient
information with oversight of a pharmacist as needed. They will be responsible
for performing pharmacy related functions in compliance with departmental
policies and procedures that provide optimal pharmaceutical care.
MINIMUM QUALIFICATIONS:
EDUCATION,
CERTIFICATION, AND/OR LICENSURE:
1.
High school diploma or Equivalent.
2.
Must be nationally
certified (PTCB or EXCPT) upon hire AND Must be registered with the WV
Board of Pharmacy as Technician upon hire;
OR Two year’s pharmacy technician experience or healthcare
experience AND nationally
certified (PTCB or EXCPT) within 9 months of hire AND Registered with the WV Board of Pharmacy within 9 months of
hire.
3.
Must complete job specific
competencies or obtain specialty certification within 90 days of hire.
4.
Must be registered with the WV Board of Pharmacy as a
Pharmacy Technician trainee upon hire.
EXPERIENCE:
1.
One (1) year of pharmacy technician or
healthcare experience.
PREFERRED QUALIFICATIONS:
EDUCATION,
CERTIFICATION, AND/OR LICENSURE:
1.
Associates degree
OR Post high school education in a science field of study OR
graduate of a pharmacy technician training program.
CORE
DUTIES AND RESPONSIBILITIES: The
statements described here are intended to describe
the general nature of work being performed by people assigned to this
position. They are not intended to be constructed
as an all-inclusive list of all responsibilities and duties. Other
duties may be assigned.
1.
Drafts
various correspondence letters and sends to referral source when necessary.
2.
Gathers
and documents patient demographics, insurance information, needs assessment,
patient history, and other data as needed.
3.
Initiates
refill/follow up calls and schedules delivery as needed
4.
Provides
information and answers to patient/caregiver questions and refers to
clinician when appropriate or requested.
5.
Identifies
all patients requiring pre-certification or pre-authorization at the time services
are requested or when notified by another hospital
or clinic department.
6.
Contacts
insurance company or employer to determine eligibility and benefits for
requested services.
7.
Maintains
patient records in a timely and complete manner.
8.
Assists
the pharmacist with the process of filling and labeling the prescriptions.
9.
Calculates
initial measurements for compounds and maintains compounds logs.
10.
Provides
monographs and other required medication guides with each prescription.
11.
Maintains
proper storage of medications (i.e. security, temperature controlled items,
etc.).
12.
Demonstrates
the knowledge and skills necessary to communicate to the infant, pediatric,
adolescent, adult and/or geriatric patient per the established age-specific
education/standard.
13.
Works
with coordinators and manager to develop and attain quarterly objectives.
14.
Maintains
confidentiality according to policy when interacting with patients,
physicians, families, co-workers and the public regarding demographic/clinical/financial
information.
15.
Communicates
problems hindering workflow to management in a timely manner.
16.
Assists in the training of pharmacy technicians
17.
Initiates
charge anticipation calculations. Accurately identifies anticipated
charges to assure identification of anticipated self-pay portions.
18.
Introduces patients to Specialty Pharmacy and offers
services during Patient Onboarding.
19.
Performs
Benefits Investigation, documents, and communicates outcome with patients, pharmacists,
clinic, and providers.
20.
Extracts
clinical notes, labs, and other scanned media in patients electronic medical
record for prior authorization.
21.
Completes
and submits electronic, verbal, and paper Prior Auth
forms as well manufacturer HUB forms.
22.
Assists patients, clinics, and providers with Prior Auth Denials and Appeals.
23.
Collects resources such as manufacturer copay
assistance, foundation assistance, and patient assistance programs to achieve
affordable copays.
24.
Coordinates with clinical pharmacists to determine
alternate therapy due to financial patient burden.
25.
Troubleshoots all third party claim rejections and
assists any technicians or pharmacists with claims adjudication issues.
26.
Acts as a resource for clinical and financial
information for assigned disease state(s).
27.
Contacts and meets with manufacturer representatives
for clinical and patient financial assistance education.
PHYSICAL
REQUIREMENTS: The physical
demands described here are representative of those that must
be met by an employee to successfully perform the essential functions
of this job. Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential functions.
1.
While
performing the duties of this position, the employee is required to walk and
stand or sit for long periods of time.
2.
Must be able
to lift 30 pounds and must be able to push 50 pounds.
3.
Dexterity
required to finger, handle, and reach.
WORKING
ENVIRONMENT: The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals
with disabilities to perform the essential functions.
SKILLS
AND ABILITIES:
1.
Must be
able to use computers and software applications.
2.
Knowledge of
drugs, drugs dosing, side effects, indications, contraindications and proper
administration preferred.
3.
Knowledge
of rules, policies and regulations related to the disbursal of pharmaceutical
drugs preferred.
4.
Must be able to work accurately, efficiently,
and safely in a fast-paced environment.
5.
Must be polite and respectful when
communicating with staff, physicians, patients and families. Must
approach interpersonal relations in a positive manner.
6.
Must demonstrate flexibility to meet
the needs of department or hospital in regard to changes in work volume,
planned change, scheduling changes and emergency call-backs
(i.e. weather or disaster).
7.
Must be able to communicate effectively
verbally and in writing and place high emphasis on customer service.
Date
Reviewed/Revised: April 2021
Source: Indeed.com
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