PHARMACY TECH II - Patient Assistance Program and Prior Authorizations

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Duke Entity
Job Code
Job Description
Pharmacy Technician - Patient Assistance Program and Prior Authorizations

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.

Position Description:Receive referrals to complete medication prior authorizations from clinic staff, providers, and patientsVerify prescription insurance benefits and/or medical benefits are currently active for patientsComplete benefits investigations to determine coverage level and patient responsibilitySubmit required forms and documentation to insurance companies via phone/fax and/or web portalsFollow up on requests to receive determination decisions in a timely mannerCommunicate and document all status updates to patients, providers, and pharmaciesAssists 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.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 QS1.Works with clinical pharmacists to follow patient management program requirementsProvides input into and participates in quality improvement activitiesOther 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.
Experience and Desired Credentials:
Registered with the NC Board of Pharmacy, Certified as a Pharmacy Technician (PTCB), high school diploma or equivalent, completion of a certified pharmacy technician program and two years hospital experience as a pharmacy technician.
Requisition Number
Position Title
PHARMACY TECH II - Patient Assistance Program and Prior Authorizations
Job Family Level
Full Time / Part Time
Regular / Temporary
Department Name
Minimum Qualifications
Duke University is an Affirmative Action/Equal Opportunity Employercommitted to providing employment opportunity without regard to anindividual's age, color, disability, gender, gender expression, genderidentity, 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 robustexchange of ideas—an exchange that is best when the rich diversity ofour perspectives, backgrounds, and experiences flourishes. To achievethis exchange, it is essential that all members of the community feelsecure and welcome, that the contributions of all individuals arerespected, and that all voices are heard. All members of our communityhave a responsibility to uphold these values.
Essential Physical Job Functions:Certain jobs at Duke University and Duke University Health System mayinclude essential job functions that require specific physical and/ormental abilities. Additional information and provision for requests forreasonable accommodation will be provided by each hiring department.


Work requires high school or equivalent. Successful completionof a formalized Pharmacy Technician program preferred.


Work requires a minimum of two years experience as a PharmacyTechnician plus completion of advanced competencies checklist asdocumented and approved by the Department of Pharmacy.OR ANEQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE.

Degrees, Licensures, Certifications

Pharmacy technician certification is required from the PharmacyTechnician Certification Board (PTCB).North Carolina Board of Pharmacy registration is required.




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Job No:
Posted: 5/21/2019
Application Due: 7/20/2019
Work Type: