General Summary of PositionThe Specialty Pharmacy Technician, Clinical Coordinator serves as a crucial link between healthcare providers, patients, payors and pharmacies, facilitating seamless communication and coordination to ensure optimal patient care. Primary responsibilities will be to streamline the complex process of ensuring access to prescribed medications, catering to patients with unique healthcare needs. The Clinical Coordinator may assist in all areas of clinical operations, including benefits investigation, prior authorization, copay/foundation assistance, onboarding new patients, delivery coordination, drug replacement services and telephonic outreach for prescription refills.
Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Ensure compliance with governmental and accreditation regulations.Demonstrates behavior consistent with MedStar Health's mission, vision, goals, and objectives.Assists healthcare providers in navigation of the prior authorization and appeals process; researches, documents, and submits appropriate information to insurance payors; resolves issues and discrepancies, and follows each through to completion Fosters strong relationships with healthcare providers, including physicians, nurses, pharmacists, and payors to facilitate efficient communication and coordination of care Proactively tracks patient refills coming due, proposes orders to providers, escalates clinical issues to a pharmacist as required, performs outreach to patients to ensure coordination of all aspects of medication management.Researches options for copay / foundation assistance, drug replacement services and patient financial counseling; facilitates enrollment and / or connects patients to available resources Proactively tracks and (re)completes prior authorization and patient assistance enrollments that are due to expirePerforms patient onboarding, benefits investigation, order entry, and delivery coordination activitiesEnsures patients are equipped with resources (clinical/financial/educational) to maintain adherence to their medication action plan
Minimum Qualifications EducationHigh School Diploma or GED required
Experience3-4 years pharmacy Technician experience in a retail, mail order, or specialty pharmacy required 1-2 years customer service or equivalent experience preferred
Licenses and CertificationsPTCB - (Pharmacy Technician Certification Board) Must have successfully completed the pharmacy technician certification through the
nationally accredited certification examination of
PTCB (Pharmacy Technician Certification Board) upon hire is required Successful completion of the ExCPT (Exam for the Certification of Pharmacy Technicians)
upon Hire required and Pharmacy Technician licensure or registration as required by the state in which the pharmacy is located upon hire required
Knowledge, Skills, and AbilitiesBasic computer skillsBasic math skillsExcellent verbal and written communication skillsExcellent customer service skillsExcellent problem solving skills
This position has a hiring range of $22.04 - $38.41