Specialty Pharmacy Technician

A Specialty Pharmacy Technician is responsible for contributing to efficient and effective pharmacy operations, including but not limited to:

• Following all Company SOPs, federal, state, and local laws, regulations, professional standards, and ethics - including any Company employee agreements.
• Complying with all relevant pharmacy accreditation standards.
• Maintaining confidentiality of all patient and Company information (HIPAA compliance required).
• Adhering to pharmacy workflow procedures at each assigned task station.
• Supporting a high-performing team by taking initiative, improving patient care, and being receptive to feedback.
• Remaining flexible for scheduling and business needs.

Duties and Responsibilities

Under the supervision of the Manager/Director, Pharmacy Manager, or Staff Pharmacist:

• Handle telephone calls that do not require the pharmacist's direct attention
• Gather and complete patient information profiles accurately
• Verify insurance and benefits eligibility, including copay assistance or other aid programs, and guide patients accordingly
• Triage prescriptions appropriately to internal and external providers
• Manage patient documents promptly and accurately
• Enter prescription data accurately into pharmacy software systems
• Identify payer types and requirements based on insurance information
• Determine payer requirements such as Prior Authorization, Step Therapy, and Specialty Drug restrictions
• Use prescriber, insurance, and pharmacy portals to enhance communication
• Troubleshoot and resolve claim issues, including managing a portfolio of rejected claims, with working knowledge of Medicare Part D and other third-party plans
• Ensure timely billing, including completing and submitting prior authorization forms
• Stay current on payer policies, program changes, and financial assistance resources
• Communicate and collaborate with prescribers and their staff regarding prescription needs, financial assistance, or prior authorizations
• Fill prescriptions by retrieving, counting, and pouring medications (as required)
• Assist with inventory management, including ordering, unpacking, and receiving medication shipments
• Perform general administrative duties such as filing, returning calls, and assisting in-person customers
• Verify and collect payment information pertaining to patients shipment.
• Duties and responsibilities may vary based on business needs, state board of pharmacy regulations, licensure requirements, accreditation standards, and the state in which the employee is licensed and/or physically performing work.

Required Qualifications

• State-level licensure and national certification as required by the home state and state board of pharmacy
• Regular and predictable attendance, including evenings, weekends, and holidays
• Ability to complete required training within designated timeframes
• Ability to provide excellent customer service in person and over the phone, demonstrating compassion and empathy
• Strong communication skills with the ability to read, write, speak, and understand English
• Ability to work in a fast-paced environment and pivot quickly between tasks
• Ability to work both independently and collaboratively
• Basic math and analytical skills
• Proficiency in Microsoft Office (Outlook, Excel, Teams) and ability to produce departmental reports as needed

Preferred Qualifications

• 1-3 years of experience as a Pharmacy Technician
• Previous experience in a pharmacy or medical setting
• Previous customer service or retail experience

Physical Demands

• The physical demands described here represent those required to successfully perform the essential functions of this job:
• May sit or stand 7-10 hours per day
• May occasionally need to sit, climb, balance, stoop, kneel, bend, or walk
• May be required to work extended hours as needed
• May lift and/or move up to 30 pounds
• Must be able to function in typical pharmacy work environments
• Must pass background and drug test