This position is eligible for a sign on bonus of $2,500 Applicants must reside in Ohio, an hour driving distance from Beachwood Ohio Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. As a Pharmacy Technician in the Specialty Call Center, a caregiver in this role will help patients access specialty medications by coordinating prescription processing, insurance benefits and financial assistance
Responsibilities
include processing insurance claims, conducting initial benefits investigations, assisting with copay assistance programs and reviewing patient charts for medication changes that may affect prior authorization requirements. The caregiver will also enter prescriptions into the computer system and manage a steady volume of incoming phone calls while balancing daily responsibilities. Working closely with pharmacists, insurance companies, fellow pharmacy technicians, the benefits department and patients, the caregiver will help support timely medication access and a positive patient experience. This is a remote role. The first 90 days requires onsite training in Beachwood Ohio. A caregiver in this position will work Monday through Friday, with 8-hour shifts scheduled from either 7:30 AM to 4:00 PM or 8:00 AM to 4:30 PM. No weekend or holiday coverage is required. Quarterly onsite meetings in Beachwood Ohio required. A caregiver who excels in this role will: 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 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 the patients. Supply financial assistance contact information and/or initiate patient assistance and copay assistance applications on behalf of the 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. Minimum qualifications for the ideal future caregiver include: High School Diploma/GED Upon hire, you must be a Certified Pharmacy Technician (CPhT) through the Pharmacy Technician Certification Board (PTCB) or the National Healthcare Association (NHA). In addition to the above requirement, upon hire, it is required to hold an active registration through the Ohio Board of Pharmacy (OBOP) as either a Certified Pharmacy Technician, Registered Pharmacy Technician, or Pharmacy Technician Trainee Please note: 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 for the ideal future caregiver include: Certified Pharmacy Technician with PTCB and NHA Retail experience Experience with billing and insurance Prior Authorization Physical
Requirements:
Typical physical demands include 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 20pounds while walking, stooping, bending and reaching. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. Pay Range Minimum hourly: $22.50 Maximum hourly: $32.00 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.). Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities