About this role
Summary: Under the supervision of a registered pharmacist, the Data Entry/Verification Pharmacy Technician works in all areas of prescription processing and fulfillment including entering prescriptions in to the pharmacy system, maintaining accurate patient records, verification of insurance benefits, filling and shipping of prescription and supply orders. The pharmacy technician is expected to have a positive attitude and work well in a team environment. Pharmacy technicians have a varied work schedule; working in different areas of the pharmacy daily to support the activities of the pharmacists. They must be dependable, possess a strong work ethic and have reliable attendance. All tasks and duties must be completed in accordance and compliance with HIPAA guidelines, State and Federal laws, and current company policies and procedures.
Key Qualities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. The candidate must be able to multi-task, work well with others, and be able to handle change while always being a team player and open to new ideas and views.
Essential Duties and Responsibilities:
• Accurately process claims for refill prescriptions including resolving rejected claims, assuring the patient responsibility is collected and documenting the shipment
• Review all pertinent medical documentation from physicians, and other healthcare facilities.
• Assist pharmacist in with the retrieval of prescription files, patient files and profiles and other such records pertaining to the practice of pharmacy including data entry and label preparation
• Initiate communication to a prescribing practitioner or their medical staff (or agent) regarding prescription refill authorization requests.
• Initiate communication to confirm the patient name, medication, strength, quantity, directions and date of last refill.
• Initiate communication to a prescribing practitioner or their medical staff (or agents) to obtain clarification on missing or illegible dates, prescriber name, brand/generic preference, quantity, DEA registration number or license number.
• Verify and transmit PBM claims and coordinate insurance benefits for new and/or recurring patients, process secondary claims, resolve rejected claims, and reverse paid claims if necessary.
• In the absence of the fulfillment technician, assist with the duties of the fulfillment technician including but not limited to prescription processing, drug inventory and ancillary supplies management, monthly inventory, monitor refrigerator/room temperature and humidity level, etc.
• In the absence of the shipping specialist, assist with the preparation of patient packages for shipping including but not limited to confirming the accuracy of contents of package, shipping information, vendor and method of delivery, restock merchandise, supplies and shipping containers in warehouse, etc.
• Performs the loading and unloading of various stock items by lifting to and from shelves.
• Maintains adherence to company policies and procedures, department requirements, safety standards and good housekeeping practices.
• Other duties as assigned or requested by management.
Education/Experience:
• State registered pharmacy technician
• Strong communication skills and problem solving skills
• High school diploma or general education degree (GED)
• Computer Literate • Detail Oriented • Oral & Written Communication
• Ability to Multi-task
• Team Oriented individual
Bonus Skills: CPHT preferred but not required or at least five years of pharmacy experience. General knowledge of CPR and FedEx Ship Manager.
Competencies: To perform this job successfully, the individual should demonstrate the following competencies:
Customer Service: Ability to handle difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance and is able to meet commitments expected by the internal and external customer.
Language Ability: Must possess the ability to read and interpret simple instructions, short correspondence documents such as prescriptions, basic understanding of insurance and procedure manuals.
Reasoning Ability: Ability to solve practical issues and deal with a variety of variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or scheduled form.
Interpersonal Skills: Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to new ideas and open to change.
Mathematical Skills: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.
Computer Skills: Must be technologically savvy with a multitude of equipment including, but not limited to: computers, fax machines, scanners, printers, etc. Should be comfortable with a number of operating systems and the Microsoft Office Package (Outlook, Word, Excel and Power Point).
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, talk and hear. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. On occasion the employee must occasionally lift and/or move up to 35 pounds.
Work Environment: The work environment characteristics described here are representative of what the employee encounters while performing the essential functions of this job. Works in an office, pharmacy and warehouse environment.
All your information will be kept confidential according to EEO guidelines.