Pharmacy Technician

About the Role

Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. This is a work-from-home role supporting medication access by processing prescription claims, conducting initial benefits investigations, and assisting with copay assistance programs.

Key Responsibilities

• Process prescription claims.
• Conduct initial benefits investigations.
• Assist with copay assistance programs.
• Complete prior authorization chart reviews to identify medication changes.
• Process prescriptions in the computer system.
• Manage incoming phone calls while balancing daily tasks.
• Initiate prior authorizations and communicate with third-party payers on behalf of the physician and patient.
• Find and apply manufacturer co-pay cards and initiate patient assistance and co-pay assistance applications.
• Reach out to patients to manage refills and schedule necessary current and future assessments.
• Ensure the accuracy of prescription and patient data entered into various systems by verifying patient, drug, quantities, directions, day's supply, insurance, and physician data.
• Conduct a thorough benefits investigation and process any necessary prior authorizations and/or appeals for pharmacy claims.
• Explain benefit coverage and financial responsibilities to patients.
• Supply financial assistance contact information and/or initiate patient assistance and copay assistance applications on behalf of patients.
• Resolve aspects of specialty pharmacy insurances, including Medicare, Medicaid, Pharmacy Benefit Managers (PBM), and Preferred Provider Organizations (PPO), and communicate with payors and advise patients or physicians of results as needed.
• Utilize all pharmacy systems to review patient profiles, enter changes, and establish assessment schedules.
• Document all patient/client/provider contact in appropriate computer systems.

Requirements & Tech Stack

• Work-from-home role.
• In-person training component required.
• Monthly on-site meeting requirement:
• Ohio-based meetings at Beachwood administrative campus.
• Florida meetings at the Florida Research and Innovation Center in Port St. Lucie.
• Work shifts: 8-hour shifts between 7:30 am to 4:00 pm and 8:00 am to 4:30 pm, Monday through Friday.
• No weekends or holidays required.
• Must reside in Ohio or Florida.
• Pharmacy systems
• Computer

Qualifications

• High School Diploma/GED.
• Upon hire, must be a Certified Pharmacy Technician (CPhT) through the Pharmacy Technician Certification Board (PTCB) or the National HealthCareer Association (NHA).
• Upon hire, must hold an active registration through the Ohio Board of Pharmacy (OBOP) as either a Certified Pharmacy Technician, Registered Pharmacy Technician, or Pharmacy Technician Trainee.
• Caregivers with active Pharmacy Technician Trainee or Registered Pharmacy Technician registrations are required to update their registration to a Certified Pharmacy Technician registration with the OBOP within 6 months.

Preferred Qualifications

• Completion of a formal pharmacy technician training program.
• One year of experience in a pharmacy technician role.

Physical Requirements

• Ability to perform the job while standing, reaching, stretching, stooping, and sitting for prolonged times.
• Manual dexterity sufficient to perform computer and dispensing functions of the job.
• Ability to lift up to 20 pounds while walking, stooping, bending, and reaching.
• Follows standard precautions using personal protective equipment as required.

Pay Range

• Minimum hourly: $22.50
• Maximum hourly: $32.00