Non-Retail Certified Pharmacy Technician - Intake (Amber Specialty Pharmacy)

Responsible for the day-to-day customer service activities and support of specifically assigned clients and customers. Responsible for new patient intake, benefits investigation, initiating prior authorizations, and documentation of interaction with all sources. Provides excellent customer service to all interactions. Acts as a liaison between Company, insurance, Pharma, co-pay assistance sources, and provider’s offices via phone, fax, and e-mail communications. Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities. Creates patient’s estimated cost of benefits with all pertinent information and attaches to record for use by customer care center of excellence. Notifies appropriate staff of relevant information gathered during calls to providers or patients that may affect a patient’s disease state, medication regimen or method of funding. Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact. Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma. Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, initiation of discharge, patient letter mailings, or other reminders as it relates to the patient’s care. Must maintain the established workflow within the Patient Care Access Department and adhere to the company/department’s Policy and Procedure manual. Responsible for coordinating manufacturer or nursing agency support when home teaching is required. Must maintain referral log on a daily basis and update with all pertinent information. Responsible for completing patient’s Estimated Cost of Benefits and able to explain to patient and others in the organization. Must be able to perform complete benefits investigation, including prior authorization and medical vs pharmacy determination. The individual will also need to complete all payer documentation, including Medicare Certificates of Medical Necessity and DME Information Forms. Contacts: frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, insurance providers, payers, vendors, and customers. This is not an exhaustive list of contacts and is subject to changes and alternatives. Confidentiality: The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).