Address
Form of workEmployment Type:
Full timeShift:
Description:
ASK ABOUT OUR SIGNING BONUS!!!
The purpose of this position is to assist the Specialty Medication Pharmacist or their designee, with providing support for patients receiving specialty pharmaceuticals within the Loyola University Health System. Under the supervision of a pharmacist, the technician will be responsible for processing new and refill specialty orders including verifying and re-verifying pharmacy benefits, assisting patients with reimbursement issues, continuous follow-up with the specialty pharmacy, and keeping providers aware of prescription processing.
Insurance Authorization: Work closely with the pharmacist and provider to prepare and obtain insurance prior authorizations for Specialty Medications. Pursue appeal for insurance denials when needed. Maintain continuous communication with specialty pharmacy to update status of medication order. Perform all documentation needed and follow-up on problems or issues needing to be resolved.
Reimbursement Services: Assist patients with enrollment in financial assistance programs including third party, manufacturer and locally funded plans. Follow up with funding programs to confirm patient eligibility and gather all required reporting and documentation. Contact patient, pharmacist and provider regarding status of financial assistance applications and funding available.
Communication: Communicate effectively with insurance companies and internal and external health care providers. Screen, identify and resolve clinical or processing issues related to Specialty Medications. Provide telephone support to patients receiving Specialty Medications. Document all patient interactions. Gather relevant patient-specific information and transmit to specialty pharmacy as directed by the pharmacist.
Quality control: Participate in quality improvement and quality assurance programs to monitor performance of services as requested by the Specialty Medication Pharmacist.
Off-campus services: Assist off-campus LUHS providers and pharmacists with processing and access to Specialty Medications. This shall include prior authorizations, denial appeals, financial assistance and communication with specialty pharmacy.
Education
Minimum
High school diploma or equivalent.
Credentials/Licensure
Minimum
Possess an Illinois Pharmacy Technician License.
Possess Pharmacy Technician Certification (CPhT).
Retail pharmacy technician: Experience with adjudicating prescription drugs,
corresponding with insurance companies and processing payments, STRONGLY preferred.
Familiarity with specialty pharmacy products and operations preferred.
Other Knowledge, Skills, and Abilities
Minimum
Good written and verbal communication skills.
Good math skills (multiplication, division, addition, subtraction) in calculations involving fractions, decimals, percentages and volumes.
Perks & Benefits:
Our Promise to You:
Joining Loyola Medicine is being a part of an organization that treats the human spirit in our patients and fellow colleagues. We are a part of a community which believes in giving back to those we serve.
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:
Description:
ASK ABOUT OUR SIGNING BONUS!!!
The purpose of this position is to assist the Specialty Medication Pharmacist or their designee, with providing support for patients receiving specialty pharmaceuticals within the Loyola University Health System. Under the supervision of a pharmacist, the technician will be responsible for processing new and refill specialty orders including verifying and re-verifying pharmacy benefits, assisting patients with reimbursement issues, continuous follow-up with the specialty pharmacy, and keeping providers aware of prescription processing.
Insurance Authorization: Work closely with the pharmacist and provider to prepare and obtain insurance prior authorizations for Specialty Medications. Pursue appeal for insurance denials when needed. Maintain continuous communication with specialty pharmacy to update status of medication order. Perform all documentation needed and follow-up on problems or issues needing to be resolved.
Reimbursement Services: Assist patients with enrollment in financial assistance programs including third party, manufacturer and locally funded plans. Follow up with funding programs to confirm patient eligibility and gather all required reporting and documentation. Contact patient, pharmacist and provider regarding status of financial assistance applications and funding available.
Communication: Communicate effectively with insurance companies and internal and external health care providers. Screen, identify and resolve clinical or processing issues related to Specialty Medications. Provide telephone support to patients receiving Specialty Medications. Document all patient interactions. Gather relevant patient-specific information and transmit to specialty pharmacy as directed by the pharmacist.
Quality control: Participate in quality improvement and quality assurance programs to monitor performance of services as requested by the Specialty Medication Pharmacist.
Off-campus services: Assist off-campus LUHS providers and pharmacists with processing and access to Specialty Medications. This shall include prior authorizations, denial appeals, financial assistance and communication with specialty pharmacy.
Education
Minimum
High school diploma or equivalent.
Credentials/Licensure
Minimum
Possess an Illinois Pharmacy Technician License.
Possess Pharmacy Technician Certification (CPhT).
Retail pharmacy technician: Experience with adjudicating prescription drugs,
corresponding with insurance companies and processing payments, STRONGLY preferred.
Familiarity with specialty pharmacy products and operations preferred.
Other Knowledge, Skills, and Abilities
Minimum
Good written and verbal communication skills.
Good math skills (multiplication, division, addition, subtraction) in calculations involving fractions, decimals, percentages and volumes.
Perks & Benefits:
- Competitive Shift Differentials
- Career Development
- Participation in the Public Service Loan Forgiveness Program
- 403(b) with Employer Match
- On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)
- Referral Rewards
- Perks Program
Our Promise to You:
Joining Loyola Medicine is being a part of an organization that treats the human spirit in our patients and fellow colleagues. We are a part of a community which believes in giving back to those we serve.
- We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities
- We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners
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.
