Specialty Pharmacy Patient Advocate

Primary City/State:

Tucson, Arizona

Department Name:

BFP-MD Anderson

Work Shift:

Day

Job Category:

Pharmacy

$2000 Sign on Bonus

A position in a Banner Health pharmacy is one you can look forward to. Join an engaging environment of full service, high technology and experience a wide variety of responsibilities. You’ll also see how important a pharmacy job is to our ability to make life easier for our patients. Come enjoy great challenges and build both your knowledge of the field and your analytical skills.

This position will be hired into the newly formed Pharmacy Shared Services. This position will support Banner Family Pharmacy - Home Delivery and Banner Pharmacy Services - Specialty Care. This Department is responsible to provide direct patient care to patients and their caregivers by assisting with financial assistance and prior authorizations.

As a Pharmacy Patient Advocate technician and provider consultation, providing pharmacist verification and fulfilment. You will have the opportunity to work in a very rewarding line of work, with a high functioning team that offers opportunity for professional growth. In addition you will be able to work within the hours of 8am-5pm, no weekends or holidays(depending upon the needs of the business), with flexible hours during the week. This position is located in Tucson, AZ

• Excludes Internals

Banner Pharmacy Services division provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices. Banner Pharmacy Services will be recognized nationally as a clinical leader and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and service to make a difference in people's lives. Banner is expanding its focus from being a hospital company to a clinical quality company focused on population health management. Clinical Pharmacy Services are also included in this robust new service line and are responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention.

POSITION SUMMARY
This position will determine, support and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third-party prior authorization and billing processes for pharmacy benefits. Assist patients with enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a face-to-face bedside-oriented service that delivers comprehensive fiscal options to patients and provide medication cost after transplant. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process.

CORE FUNCTIONS
1. Coordinate with stakeholders to remove medication access barriers.

2. Maintain current knowledge of pharmacy regulations, payer agreements and assistance programs.

3. Provide timely medication benefit counseling to patients and hospital staff.

4. Accurate and timely execution of pharmacy projects as required.

5. Follow policies, procedures and regulatory requirements and perform other work assignments.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge. Completion of a Pharmacy Technician Certification Program.

Licensed and registered pharmacy technician in the state of practice, where applicable.

Minimum of three years of healthcare and/or insurance/third party reimbursement experience required to include one year of technician experience required. Strong customer service focus, superior problem-solving abilities required. Proficiency in Microsoft Word, Excel, network, web-based and payer applications required. Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required. Ability to prioritize organization requirements and track progress of multiple initiatives.

PREFERRED QUALIFICATIONS

Associate’s or bachelor’s degree in business, healthcare or related field preferred. Prior authorization experience in specialty or retail pharmacy preferred. Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy rules and regulations preferred. Knowledge and experience utilizing McKesson Enterprise, Cerner and Therigy preferred Bi-lingual preferred

Additional related education and/or experience preferred.