The Community Pharmacy Technician - Specialty will assist in providing specialty pharmacy services under the direct supervision of a pharmacist. Services include monitoring refill schedule, coordinating medication delivery, and researching specialty insurance billing with exceptional accuracy and efficiency.
1. Accurately and efficiently process prescriptions using the pharmacy dispensing system, Cardinal Inventory Management and Epic Simultaneously.
a. Enter patient data, insurance and prescription information under the supervision of a pharmacist. Responsible for accurately billing multiple insurances for complex specialty prescriptions by submitting extra claim information in appropriate fields to ensure accurate reimbursement.
b. Proactively inform patients and their health care providers via Epic when prescription processing delays are encountered.
c. Corrects rejected claims with assistance from third party processors and/or other pharmacy staff.
d. Performs insurance verification with coordination from nursing staff, and routes prescription appropriately if Dean Specialty Pharmacy is not the preferred pharmacy.
2. Fills and labels specialty medications using specific medication protocols.
a. Fills and labels hazardous chemotherapeutic products using proper safety protection.
3. Uses knowledge and understanding of various Medication Therapy Management (MTM) programs from different insurers to identify qualifying patients when processing new and refill prescriptions.
a. Independently initiates MTM opportunities while inputting prescriptions.
b. Completes the appropriate forms and alerts the pharmacist of the potential MTM.
c. Completes the billing and documentation in HBS, Aprexis, Mirixia, Outcomes or other programs with minimal assistance from pharmacist.
d. Identifies patients who may need vaccinations and flags appropriately for pharmacist to evaluate. Retrieves and organizes appropriate vaccine specific paperwork for patient education and documentation of vaccine administration.
4. Manages the processes of shipping and packaging with minimal supervision by a pharmacist.
a. Packages finished prescriptions for shipping using specific packaging protocols considering multiple variables such as product specific requirements, seasonal weather differences, and shipping destination.
b. Maneuvers, manages, and troubleshoots parcel delivery service software and US postal service software in order to accurately bill and track an assortment of medications and medication packages, correctly schedule delivery based on the specific medication requirements.
c. Reviews billing reports and analyzes data to ensure appropriately billing from parcel delivery service.
d. Appropriately replenishes and manages monetary funds for US postal service software.
e. Trains and oversees Pharmacy Clerk to manage packaging workflow.
f. Trains and oversees Specialty Pharmacy Insurance Authorization Specialist while continuing to manage technician responsibilities.
g. Trains and oversees Pharmacy Technician 1 and Pharmacy Clerk that are performing job responsibilities in the specialty pharmacy.
h. Negotiates costs of shipping and shipping supplies.
i. Orderings special packaging supplies and sets up supply deliveries.
j. Coordinates routine delivery and emergency same delivery services and delivery exceptions.
k. Develops and maintains cooler and shipping protocols.
l. In charge of continuous temperature testing and data collection.
5. Independently manages inventory at appropriate levels with minimal supervision of the pharmacist.
a. Independently conducts scheduled audits to keep accurate inventory.
b. Orders necessary products from the lowest cost wholesaler.
c. Sets appropriate minimum and maximum quantities on hand when appropriate
d. Conducts inventory returns when appropriate.
6. Operates the cash register and point of sale (POS) system and performs end of day check out using good cash handling techniques with minimal shortages/overages.
7. Responsible for billing patients and coordinating with Insurance Specialists on best practice accounting methods.
8. Uses appropriate telephone skills and responds to all calls that do not require the personal attention of a pharmacist.
9. Opens and responds to all mail and email including My Chart and Epic In-Basket messages on a daily basis. Operates within specific interdepartmental policies and programs established by Dean Specialty Pharmacy.
a. Sends In-Basket updates to nursing staff based on specific clinical protocols.
b. Sends Epic requests for refill authorizations as needed.
10. Manages the Prior Authorization process.
a. Uses Epic to find clinical and insurance information.
b. Contacts clinic staff via Epic, email, office messenger to retrieve or coordinate necessary information and signatures.
c. Responsible for communicating with patients via My Chart coordinating shipping dates and pharmacist consultation appointments.
d. Reviews the patient financial tracker to manage the patient's prior authorization process. Communicates with prior authorization personnel to update them on any necessary modifications to the prior authorization or new prior authorization submissions.
11. Actively seeks out programs for patients to assist with copays, patient education materials and needle disposal programs.
a. Advocates with companies on behalf of patients and with the patient's permission to get access to these programs.
b. Meets and communicates with drug manufacturer representatives and HUB services to offer patients available services.
c. Updates and manages workflows to incorporate these services for patients.
d. Identifies underserved and eligible patients and enrolls patients with financial assistance per patient consent.
e. Educates and enrolls patients that are eligible for any clinical services or copay assistance available from the manufacturer or HUB service per patient consent.
f. Enrolls patient in need for foundation programs if they do not qualify for copay assistance because they are uninsured or insured by a government organization.
g. Communicates through email, Epic in basket, and office messenger with clinical staff to ensure operation of policies and programs is functioning on a daily basis.
12. Independently utilizes Epic to communicate with health care providers regarding refill requests, cost of medication and copay assistance.
13. Identifies when special consultation is needed and flag prescription accordingly based on protocols set forth by the specialty pharmacist.
14. Under the direction of the pharmacist, the technician will perform a pre-consultation screening to gather relevant information for the pharmacist based on protocols
1. Bachelor's Degree in a relevant field or a High School diploma with 1 year of additional relevant training or education and 3-5 years of Pharmacy Technician experience.
2. Pharmacy Technician Certification (CPhT) or must complete certification within 6 months of taking the position.
3. Thorough knowledge of medical and pharmacy terminology and processing techniques.
4. Strong math skills in pharmacy calculations.
5. Exceptional organizational skills needed for dealing with a complex workflow, to follow complex instructions accurately and complete work in a tight schedule .
6. Strong customer service and communication skills for interacting effectively with patients and staff over the phone, computer (Epic) or in person.
7. Good computer skills for entering and retrieving information from the pharmacy computer system.
8. Ability to make judgements and decisions in areas of procedures which will affect efficiency, cost, and general operations of the specialty pharmacy as necessary.
9. Ability to work independently, with limited assistance from others, in a variety of assignment areas.
10. Ability to communicate and negotiate with outside manufacturers, hub services, and outside vendors.
11. Must be available to travel to local parcel distributer and post office to drop off shipments.
1. Specialty Pharmacy experience
2. Experience with Word and Excel computer applications.
3. Experience with Epic
Essential Physical Functions
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. The ability to work with and to wear appropriate Personal Protective Equipment when compounding sterile products, such as chemotherapy drugs.
2. The ability to safely lift, push and pull 20 pounds frequently.
3. The ability to stand and work at a multi-user workstation for long periods of time.
4. The ability to twist/stoop, crouch and reach overhead.
5. The ability to perform fine motor skills and grasping tasks, including multiple manipulations when compounding hazardous drug medications.
6. The ability to communicate effectively over the phone and in person.
7. The ability to read fine print.
8. The ability to work overtime (shifts greater than 8 hours) if necessary.
About SSM Health Dean Clinic-
Based in Madison, Wis., Dean Clinic consists of a network of more than 60 clinics in south-central Wisconsin. Our more than 500 physicians provide primary, specialty and tertiary care in the clinics as well as eye care through our Davis Duehr Dean locations. Dean Clinic also offers urgent care services and operates outpatient surgery centers. Dean Clinic joined SSM Health in 2013.