Pharm Tech-Spec & Retail

Job Summary

The Specialty / Retail Pharmacy Technician works under the direct supervision of a licensed pharmacist. This role plays a critical part in ensuring timely and accurate delivery of specialty medications to patients. by assisting in the preparation of medications for dispensation by the pharmacist, managing inventory, coordinating prior authorizations, and providing exceptional service to patients and healthcare providers. The technician ensures that all activities are performed in compliance with regulatory guidelines, policies, and procedures.

Responsibilities

• Operational Support:
• Accurately prepare new and refill prescriptions, ensuring compliance with Specialty Pharmacy policies and regulatory guidelines
• Transcribe incoming prescription orders and manage documentation within designated pharmacy systems
• Assist pharmacists with compounding and preparing pharmaceuticals according to established protocols
• Maintain accurate inventory management, ensuring stock is rotated properly and stored under appropriate conditions
• Monitor supply levels to minimize waste, prevent stock-outs, and manage purchasing to optimize inventory costs
• Patient Care & Customer Service:
• Provide exceptional customer service to patients, clinic staff, and other healthcare providers, addressing questions regarding insurance coverage, billing, and patient costs.
• Coordinate with patients to schedule prescription refills, manage delivery logistics, and ensure updated billing information.
• Support specialty medication adherence by monitoring refills and proactively managing gaps in therapy.
• Serve as a primary contact for patients and clinic staff, managing urgent requests and ensuring smooth communication between the pharmacy and clinical teams
• Exercise sound judgement in the escalation of clinical questions to the pharmacist on duty
• Prior Authorization & Billing Management:
• Initiate and manage prior authorization requests for specialty medications, tracking expiring authorizations and renewals
• Review claims and rejections to determine required follow-up, ensuring timely resolution to maintain continuity of care
• Manage daily billing operations, including submission of claims and coordination with prior authorization technicians as needed
• Process patient payments at the designated Point of Sale (POS) system for specialty prescriptions
• Compliance & Quality Assurance:
• Ensure all activities are compliant with HIPAA, Medicare/Medicaid billing regulations, and the 340B Drug Pricing Program
• Participate in quality improvement initiatives to enhance the efficiency and effectiveness of pharmacy services
• Maintain cleanliness, organization, and compliance within all assigned work areas according to internal and external standards
• Accurately document all activities and communications within the appropriate pharmacy systems

Qualifications/Requirements

• Education:
• Required :
• High school diploma or GED .
• Preferred :
• Completion of an ASHP- accredited Pharmacy Technician Training
• Experience:
• Required :
• Strong proficiency in data entry and pharmacy software systems
• Excellent verbal and written communication skills
• Preferred :
• Minimum of two years of experience in a pharmacy or healthcare setting
• Understanding of outpatient, retail, or specialty pharmacy operations
• Licensure & Certification:
• Required :
• Current licensure as a New York State Registered Pharmacy Technician and active PTCB or NHA CPhT certification
• Preferred :
• 340B University

Additional Information

• Reports to: Associate Director – Pharmacy Operations
• Schedule: Full-time, with potential weekend and holiday shifts as needed.
• Opportunities for Growth and Collaboration: Involvement in advanced clinical research, teaching, leadership roles, and expanded responsibilities in other departmental areas.