Dedicated Intake Specialist - Amber Specialty Pharmacy : Job Details

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions. HIRING BONUS: $2,000* Seeking to hire a Certified Pharmacy Technician or the right candidate to join our Pharmacy Technician Apprenticeship Program. When enrolling in our Apprenticeship program you will enjoy paid training, hands-on experience, and full support to become a Certified Pharmacy Technician. We'll provide study materials and cover the initial certification exam fee once you qualify.

• Monday-Friday (no weekends)
• Hours: 8 a.m. - 5 p.m. CST
• Six paid holidays
• Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.

*Current Technician License - $1,000 after 30 days of employment; $1,000 after six months of employment | Apprentice - $1,000 after 30 days of employment; $1,000 after completing certification. Amber Specialty Pharmacy Job Title: Dedicated Patient Access Technician Intake Department: Operations FLSA: Non-Exempt General Functions: Responsible for new patient intake, benefits investigation, initiating prior authorizations, and navigating patient access for an assigned product program. Responsible for the day-to-day customer service activities and support of assigned clients and customers. Provides excellent customer service to all interactions. Reporting Relations Reports to: Program Management Lead Direct Reports: None Primary Duties and Responsibilities:

• Responsible for routing all incoming documentation for new patients, refills, and additional documentation for Specialty and Infusion pharmacies per product program requirements.
• Responsible for prescription entry, requesting new prescriptions, and clarifications from prescribers as supervised by a pharmacist.
• Must be able to complete benefits investigation, including prior authorization and medical vs pharmacy determination. The individual must also meet all payer documentation, including Medicare Certificates of Medical Necessity and DME Information Forms.
• Responsible for navigating and troubleshooting all aspects of patient access to all patients within a dedicated product program.
• Explains all Company programs and services to Referral sources and provider's office staff regarding what to expect with Company services, contents of shipments, and patient rights.
• Acts as a liaison between Company, insurance, Pharma, co-pay assistance sources, and provider's offices via phone, fax, and e-mail communications.
• Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities.
• Creates patient's estimated cost of benefits with all pertinent information and attaches to record for use by customer care center of excellence.
• Notifies appropriate staff of relevant information gathered during calls to providers or patients that may affect a patient's disease state, medication regimen, or method of funding.
• Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact.
• Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma.
• Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, discharge initiation, patient letters, mailings, or other reminders related to the patient's care.
• Collaborates with program team members on other aspects of the product program, not limited to intake and patient access functions and patient communications and onboarding.
• Responsible for coordinating manufacturer or nursing agency support when home teaching is required.
• Must maintain referral log daily and update with all pertinent information.
• Responsible for completing patient's Estimated Cost of Benefits and able to explain to patient and others in the organization.
• Contacts referring nurses/coordinators according to the assigned team regarding insurance verification findings and patient issues, and status updates.
• Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed the Policy and Procedure manual.

Professional Competencies:

• Proficient with MS Excel, Word, and Outlook
• Demonstrated ability to meet tight deadlines
• Must be detail oriented with a high level of accuracy
• Ability to work with all levels of internal management and staff, as well as outside clients and vendors
• Working knowledge of Medicare, Medicaid, and Commercial Insurance related to pharmacy billing, prior authorizations, insurance verification, and medical terminology preferred
• Must be knowledgeable in Medicare, Medicaid, Commercial insurance, and renal programs and how they apply to transplant and specialty patients
• Knowledgeable in the process of insurance verification and online prescription adjudication

Educational and Experience Requirements:

• High school diploma or equivalent

Licensure and Certification Requirements:

• Current unrestricted state pharmacy technician registration/licensure
• National or state pharmacy technician certification per applicable State Board of Pharmacy requirements

Physical Requirements:

• Must be able to remain in a stationary position up to 90% of the time
• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events
• Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations
• The ability to observe details at close range (within a few feet of the observer)

Working Conditions: Normal office environment. Equipment Used to Perform the Job: Computers, keyboards, mouse, monitors, fax, and/or headsets for phone work. Software specific to the position, including but not limited to Microsoft Outlook and Skype. Must lift and traverse the area to move paper and supplies to use the equipment. Contacts: Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, Vendors, and customers. Confidentiality: The position Interactions with medical personnel and patients and accesses proprietary and medical (HIPAA) information in various interactions and matters. Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable). Apply now and join our mission to provide exceptional patient care!