Pharmacy Technician II - Patient Assistance Program and Prior Authorizations (Full-Time/Days)
Duke University Health System
Location: Durham, North Carolina
Internal Number: 232049
Duke University Hospital
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
**$5,000 Sign-On Bonus for Newly Hired Team Members**
Work Location: Duke University Hospital -Durham, NC
Monday - Friday
Position Summary: This pharmacy technician will complete medication Prior Authorizations and participate in the Patient Assistance Program for the Department of Pharmacy ensuring patient access to prescribed medications and drug accountability for drug replacement programs and manufacturer assistance programs in compliance with hospital, state, and federal requirements. This position will also coordinate drug delivery and continuity of care with Duke Retail Pharmacies. This pharmacy technician will primarily be based out of their assigned specialty clinic and will support medication prior authorizations and patient assistance for various patient populations.
Establish clinic, pharmacy, and patient relationships conducive to effective patient care
Receive referrals to complete medication prior authorizations from clinic staff, providers, and patients
Verify prescription insurance benefits and/or medical benefits are currently active for patients
Complete benefits investigations to determine coverage level and patient responsibility
Submit required forms and documentation to insurance companies via phone/fax and/or web portals
Follow up on requests to receive determination decisions in a timely manner
Communicate and document all status updates to patients, providers, and pharmacies
Assists self-pay and underinsured patients in obtaining costly medications primarily from drug manufacturer replacement programs and manufacturer assistance programs.
Coordinates and assists the clinic financial care counselors and social workers in identifying eligible patients.
Works with the Patient Revenue Management Organization to assist in drug replacement for insured patients with drug denials.
Coordinate and deliver medications to patients being discharged from the hospital.
Provide education using pill boxes with medication sheets.
Forwards credits to Pharmacy Financial Management Team for assisted patients.
Interviews potential patients for assistance and collect all financial forms related to the self-pay status.
Prepare prescriptions for a pharmacist to check pursuant to a physician order.
Inputs patient information (including insurance information) into WAM.
Works with clinical pharmacists to follow patient management program requirements
Provides input into and participates in quality improvement activities
Other duties as appropriate for this position
Knowledge, Skills, and Abilities:
Excellent communication skills, Microsoft Word and Excel competence, organizational skills, ability to multitask and work independently.
Pharmacy Tech II: High school diploma or equivalent and completion of an accredited pharmacy technician-training program. or Acceptance into pharmacy school. or High school diploma or equivalent and one year of pharmacy or health care related experience.
Pharmacy Tech II: Minimum of one years related experience.
Degrees, Licensures, Certifications
Pharmacy Tech II: North Carolina Board of Pharmacy registration is required. Pharmacy Technician certification is required from the Pharmacy Technician Certification Board (PTCB) or The Exam for the Certification of Pharmacy Technicians (ExCPT).
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.