Position Purpose: Specialty Care Technicians coordinate the care for patients that are starting and maintaining therapy on Specialty Pharmaceutical (SP) products. Agents perform benefits investigations with third party payers and coordinate authorization for payment with the prescribing physician. Agents direct the purchasing and filling of SP products with Albertsons Safeway pharmacies and coordinate the administration of the product, connecting the patient and the pharmacy staff.
Key Responsibilities include, but are not limited to:
Benefits investigation – determining coverage, facilitating prior authorization and communicating coverage to the patient.
Care Coordination – facilitating the buy, bill and administration of SP products within the company pharmacies and company mail order.
Therapy Support (Specialty)- Tracking patients on SP products conducting refill reminders, therapy questionnaires and coordinating just in time ordering and pick-up in the company pharmacies and the company mail order.
Therapy Support (Pharmacy Care) – Contacting patients and organizations to assure patients are completely protected with up-to-date immunization and marketing immunization services to organizations.
Central Processing – Documentation and billing of Medication Therapy Management services conducted in the pharmacies.
Travel Health – coordinating care for patients traveling oversees contracted with the company pharmacies to provide their immunizations before departure.
High school diploma or GED.
Certified Pharmacy Technician.
Two years’ experience as a Pharmacy Technician
Preferred experience with Albertsons or Safeway Pharmacies
Experience in acquiring prior authorization from third party payers.
Problem solving abilities and attention to details.
Administration skills, such as planning and organizing, resource management and the ability to set priorities and coordinate work activities.
Customer relations skills including meeting customer needs and establishing a service environment. This involves the ability to identify requirements of internal and external customers, focus on achieving optimal results, and develop solutions that positively affect customer satisfaction.
Good computer skills including Microsoft Office
Preferred experience with PDX, EPS and Enterprise
Physical Environment Local and long-distance travel to divisions of responsibility Most work is performed in a temperature-controlled office environment Incumbent may sit for long periods of time at desk or computer terminal Incumbent may use calculators, keyboards, telephone and other office equipment in the course of a normal workday. Stooping, bending, twisting, and reaching may be required in completion of job duties
The above statements are intended to describe the general nature of the work performed by the employees assigned to this job. All employees must comply with Company policy and applicable laws. The responsibilities, duties and skills required of personnel so classified may vary within each department and/or location.