Fill Specialty Pharmacy Technician

City:
Yakima

State/Territory: US-WA

Employment Duration:
Full time

Offer Relocation:
No

Excempt Status:
Non-exempt

Join our team as a Central Fill Specialty Pharmacy Technician at Central Fill Pharmacy in Yakima, WA!

Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

We invite you to explore our short clips, WE are Yakima - WE are Family and YVFWC - And then we grew, for a glimpse into our dedication to our communities, health, and families!

• 1.0 FTE (40 hours per week)
• $21.44-$31.58/hour DOE
• Additional pay for your bilingual skills, paid on hours worked
• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

• Initiates and is responsible for the patient intake process which includes gathering and entering detailed information about the patient and the patient’s prescription into the pharmacy’s Electronic Medical Record (EMR).
• Reviews and screens new patients to determine if the patient has adequate prescription coverage. Provides solutions to constraints when applicable.
• Submits prior authorization requests, follows up on submitted prior authorization requests, and submits claims with approvals as appropriate.
• Identifies patients who may qualify for patient medication assistance programs or copay assistance. Refers appropriate patients to financial counseling or charity applications for coverage options.
• Provides monthly adherence phone calls to patients who are not taking their medication as prescribed to reengage them in therapy.
• Supports the Pharmacy Call Center and triages patient calls to appropriate party.
• Troubleshoots and resolves billing rejections and subsequently rebills claims to appropriate carrier for all commercial, federal, and state insurance plans.
• Establishes and maintains effective working relationships with billing operations specialists and Outpatient Clinic pharmacy staff to maintain effective communication regarding third-party billing issues.
• Functions as primary third-party billing resource for Outpatient pharmacy staff.
• Assists in the development, implementation, and evaluation of third-party billing policies and procedures. Educates pharmacy staff about third-party billing policies and procedures as needed. Provides technical support to other Pharmacy Technicians.
• Contacts payers for lost medication overrides, replacement, and vacation override approvals.
• Performs prescription quality audits.
• Perform other duties as assigned

• High School Diploma or GED.
• Washington State Pharmacy Technician license.
• Experience working with all Specialty patient discount programs, platforms for financial aid, and the Ryan White program is preferred.
• One year's experience in a pharmacy setting is preferred.
• This position is eligible for Bilingual Differential Compensation when an ALTA score of 9 is achieved.
• Spanish-speaking skills are preferred at a level 10.
• Effective verbal, written, and listening communication skills with a customer-oriented approach.
• Knowledge of medical terminology.
• Knowledge of insurance processes for specialty and retail drugs.
• Ability to perform administrative tasks such as answering phones, filing,…