Address
Form of workEmployment Type:
Full timeShift:
Day Shift
Description:
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Ensures the accuracy of prescription and patient data entered into various systems by verifying patient, drug, quantities, directions, day's supply, insurance, and physician data. Creates physician profile in computer systems, demographics, DEA, NPI numbers. Inputs insurance, pharmacy and medical information; Initiates required prior authorizations when benefit investigation is not required; resolves aspects of specialty pharmacy insurances, including Medicare, Medicaid, PBM, and PPO and communicates with payers and advises patients or physician of results when needed. Adjudicates and reviews prescription insurance claims and patient financial assistance plans of medications to be delivered to patients and providers. Comprehends different type of patient financial assistance available and understand requirement for patient eligibility and application submission Communicates and supports all pharmacy teams as needed to coordinate timely prescription adjudication to meet delivery schedules. Supports prescription updates for NDC changes. Performs the appropriate contact to physician offices for refill authorizations. Manages inactive and expired prescriptions. Reports errors, omissions, or incidents to pharmacist. Assists the Pharmacist in reviewing, picking, processing, preparing, filling, labeling and dispensing of medications, supplies, and patient education material. Assists pharmacist in all other responsibilities, as appropriate. Maintains safe and clean working environment and equipment. Monitors and maintains all required temperature logs as per policy and procedures. Assists stocking inventory, i.e. medication, supplies, and patient educational materials in the appropriate and assigned location in the pharmacy. Checks medication and administration supply inventory for out-of-date products, removes out-of-date products from inventory and works with the appropriate resource to record out-of-date products while performing Fulfillment functions and inventory counts. Assists with full inventory and cycle counts and manage mins and max levels of inventory Assists with the drug recall process and returns when necessary. Maintains productivity rates and meet quality expectations determined by managemen.t Triages all clinical calls to clinical staff. Participates in quality program initiatives and improvement activities. Complies with all regulatory requirements, including HIPAA/HITECH. Other responsibilities as assigned by Management. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
Must possess a comprehensive knowledge of the pharmaceutical industry or specialty pharmacy as normally obtained through an Associate's Degree OR equivalent training acquired via work experience or education and 3-5 years of pharmacy experience. Experience with adjudicating prescription drugs, corresponding with insurance companies and processing payments, strongly preferred. Familiarity with specialty pharmacy products and operations preferred. Licensed as a Registered Pharmacy Technician in the required state(s). Knowledge of Specialty medications is preferred. Knowledge of home infusion, mail order pharmacy or general pharmacy operations is preferred. Knowledge of Microsoft office products, including Word, Excel, PowerPoint and other graphics or presentation software. Knowledge of Epic, specialty pharmacy software, and pharmacy prescription adjudication systems. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Full timeShift:
Day Shift
Description:
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Ensures the accuracy of prescription and patient data entered into various systems by verifying patient, drug, quantities, directions, day's supply, insurance, and physician data. Creates physician profile in computer systems, demographics, DEA, NPI numbers. Inputs insurance, pharmacy and medical information; Initiates required prior authorizations when benefit investigation is not required; resolves aspects of specialty pharmacy insurances, including Medicare, Medicaid, PBM, and PPO and communicates with payers and advises patients or physician of results when needed. Adjudicates and reviews prescription insurance claims and patient financial assistance plans of medications to be delivered to patients and providers. Comprehends different type of patient financial assistance available and understand requirement for patient eligibility and application submission Communicates and supports all pharmacy teams as needed to coordinate timely prescription adjudication to meet delivery schedules. Supports prescription updates for NDC changes. Performs the appropriate contact to physician offices for refill authorizations. Manages inactive and expired prescriptions. Reports errors, omissions, or incidents to pharmacist. Assists the Pharmacist in reviewing, picking, processing, preparing, filling, labeling and dispensing of medications, supplies, and patient education material. Assists pharmacist in all other responsibilities, as appropriate. Maintains safe and clean working environment and equipment. Monitors and maintains all required temperature logs as per policy and procedures. Assists stocking inventory, i.e. medication, supplies, and patient educational materials in the appropriate and assigned location in the pharmacy. Checks medication and administration supply inventory for out-of-date products, removes out-of-date products from inventory and works with the appropriate resource to record out-of-date products while performing Fulfillment functions and inventory counts. Assists with full inventory and cycle counts and manage mins and max levels of inventory Assists with the drug recall process and returns when necessary. Maintains productivity rates and meet quality expectations determined by managemen.t Triages all clinical calls to clinical staff. Participates in quality program initiatives and improvement activities. Complies with all regulatory requirements, including HIPAA/HITECH. Other responsibilities as assigned by Management. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
Must possess a comprehensive knowledge of the pharmaceutical industry or specialty pharmacy as normally obtained through an Associate's Degree OR equivalent training acquired via work experience or education and 3-5 years of pharmacy experience. Experience with adjudicating prescription drugs, corresponding with insurance companies and processing payments, strongly preferred. Familiarity with specialty pharmacy products and operations preferred. Licensed as a Registered Pharmacy Technician in the required state(s). Knowledge of Specialty medications is preferred. Knowledge of home infusion, mail order pharmacy or general pharmacy operations is preferred. Knowledge of Microsoft office products, including Word, Excel, PowerPoint and other graphics or presentation software. Knowledge of Epic, specialty pharmacy software, and pharmacy prescription adjudication systems. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
