Ambulatory Rx Assistance Pharmacy Technician

About the Role

The Ambulatory Rx Assistance Pharmacy Technician provides prescription assistance for patients across the system in various ambulatory settings, including infusion suites/expanded care, ambulatory clinics, and upon discharge from inpatient admission. This role facilitates financial assistance for patients related to prescription medications and requires an understanding of Pharmacy, Billing, Case Management, and Social Work.

Key Responsibilities

• Assesses patient situation for potential prescription assistance needs and provides appropriate resources, including coupons, copay cards, 340b discount program, and pharmaceutical assistance programs.
• Submits prescription prior authorizations to health insurance providers.
• Follows One Time Prescription Assistance Protocol.
• Contacts community agencies, insurance companies, and pharmacies to gather information and coordinate efforts.
• Communicates the plan for prescription assistance to the patient and care team.
• Documents interactions and work completed in EPIC per CM107 documentation policy.
• Collaborates with RN Care Coordinator, Social Work, pharmacists, and care team to develop a plan of care related to prescription assistance for discharging the patient.
• Identifies and enrolls qualified patients for medication assistance programs related to their therapy/medication.
• Secures and reviews applicable paperwork/applications to facilitate patient enrollment programs.
• Executes logistics of assistance programs, including product replenishment, copay reimbursement, payment arrangements, prescription copay cards, coupons, and foundational assistance.
• Monitors posting of payments and reimbursements when prescription assistance is obtained for medical benefit drugs.
• Tracks, monitors, and reports metrics to supervisor.

Requirements & Tech Stack

• EPIC
• Pharmacy
• Billing
• Case Management
• Social Work

Qualifications

• Certified Pharmacy Technician: Not Required - Student Pharmacist or Licensed before 1/1/2008 is Exempt/Not Required.
• Licensed Pharmacy Technician: Required within 60 days of license application with the Illinois Department of Financial and Professional Regulation (IDFPR).
• Certified Pharmacy Technician: Required within 2 years of license issue date (IL).
• Related field Work Experience.

Compensation

• $18.26 per hour - $29.58 per hour.