About this Job:

General Summary of Position
The Pharmacy Technician Clinical Coordinator serves as a crucial link between healthcare providers, patients, payors and pharmacies facilitating seamless communication and coordination to ensure optimal patient care. Primary responsibilities will be to streamline the complex process of ensuring access to prescribed medications catering to patients with unique healthcare needs. The Clinical Coordinator may assist in all areas of clinical operations including benefits investigation prior authorization copay/foundation assistance onboarding new patients delivery coordination drug replacement services and telephonic outreach for prescription refills.

Primary Duties and Responsibilities

• Demonstrates behavior consistent with MedStar Health's mission vision goals and objectives.
• Assists healthcare providers in navigation of the prior authorization and appeals process; researches documents and submits appropriate information to insurance payors; resolves issues and discrepancies and follows each through to completion
• Fosters strong relationships with healthcare providers including physicians nurses pharmacists and payors to facilitate efficient communication and coordination of care
• Proactively tracks patient refills coming due proposes orders to providers escalates clinical issues to a pharmacist as required performs outreach to patients to ensure coordination of all aspects of medication management.
• Researches options for copay / foundation assistance drug replacement services and patient financial counseling; facilitates enrollment and / or connects patients to available resources
• Proactively tracks and (re)completes prior authorization and patient assistance enrollments that are due to expire
• Performs patient onboarding benefits investigation order entry and delivery coordination activities
• Ensures patients are equipped with resources (clinical/financial/educational) to maintain adherence to their medication action plan

Minimal Qualifications
Education

• High School Diploma or GED required

Experience

• 3-4 years Pharmacy Technician experience in a retail mail order or specialty pharmacy required and
• 1-2 years Customer service or equivalent experience preferred

Licenses and Certifications

• PTCB - Pharmacy Technician Certification Board Must have successfully completed the pharmacy technician certification through the nationally accredited certification examination of PTCB (Pharmacy Technician Certification Board) Upon Hire required or
• Successful completion of the ExCPT (Exam for the Certification of Pharmacy Technicians) Upon Hire required and
• Pharmacy Technician licensure or registration as required by the state in which the pharmacy is located Upon Hire required

This position has a hiring range of : USD $22.48 - USD $39.75 /Hr.