Pharmacy Tech Specialist- OP Prior Authorization Tech

Phoenix Children's Hospital

Phoenix, AZ

JOB DETAILS
SKILLS
Best Practices, Billing, Biotech and Pharmaceutical, Claims Processing, Cleaning Equipment, Clinical Medicine, Co-Payments, Customer Support/Service, Equipment Maintenance/Repair, Financial Audit, Financial Reporting, Hospital, Inventory Levels, Inventory Management, Medical Billing, Medical Records, Medicare, Medications, Operational Audit, Operational Support, Order Delivery, Order Picking/Packing, Outpatient Care, Patient Assessment, Patient Care, Patient Safety, People Management, Pharmacy, Point of Sale (POS) Systems, Prescription Drugs, Process Improvement, Procurement Management, Purchasing/Procurement, Record Keeping, Regulations, Regulatory Compliance, Regulatory Requirements, Reimbursement, Resolve Customer Issues, Retail, Safety Standards, Standards of Care, Supply Chain, System Operations, Telephone Skills, Telephone Triage, Time Management, Training/Teaching
LOCATION
Phoenix, AZ
POSTED
15 days ago

Position Details

Department: PCH-MAIN | Pharmacy - Retail

Location: Phoenix

Shift: Mon-Fri, Sat, Sun, (Days Vary), Shifts Vary, 8am-5pm

Category: Pharmacy

Posting #: 1027132

Employee Type: Full-Time

Position Summary

This position, under the supervision of a pharmacist, provides advanced operational support and expertise for medication management, financial reporting, regulatory compliance, and patient care services. This role involves coordination for the prescription delivery discharge service program, supporting financial audits, and performing operational duties. These responsibilities include accurate purchasing, preparing, and dispensing of medications, compounding custom pharmaceutical products, and timely storage and delivery of medications to Phoenix Children's patients. This position reports directly to the Pharmacy Supervisor of Outpatient Pharmacy. This role leads, supports, and provides guidance and training for both Technicians I and II.

Position Duties

  • Medication Preparation

Assist in accurately preparing and labeling medications in accordance with Board of Pharmacy regulations and department policy. Defers to Pharmacist when appropriate. Prepares medications and verifies accuracy under the supervision of a pharmacist prior to dispensing in accordance with scope of practice and department procedure.

  • Utilized Pharmacy Management Software

Utilizes pharmacy information software to process prescriptions and maintain patient records, ensuring that all information is accurate and complete. Processes insurance claims, bill medications, and credits when appropriate, to ensure accurate and timely revenue capture.

  • Customer Service Support

Actively performs as the first line for customer service support for the Pharmacy by answering telephones and responding to Vocera messaging appropriately and provides direct service to hospital staff and external customers at the Pharmacy service counter. Operates POS system, assists with packaging and processing of medication orders for home delivery and clinic delivery in accordance with regulations and department policy, actively triages telephone calls in a timely manner and defers calls and questions to a pharmacist when issue is outside of scope of practice. Exhibits Phoenix Children''s Values of excellence in clinical care, service, and communication at all times. Proactively solves customer service issues independently where appropriate.

  • Non-Sterile Compounding

Performs non-sterile compounding of both non-hazardous and hazardous medications per department policy, USP 795 standards, USP 800 standards, Arizona Board of Pharmacy Rules and Regulations and all other applicable regulatory agencies. Accurately completes all compounding records and quality assurance documentation. Ensures that a pharmacist performs all interim compounding checks and final product verification.

  • Shipping

The pharmacy shipper is responsible for the accurate, timely, and safe packaging and shipment of medications and pharmacy-related supplies. This role ensures all shipments comply with pharmacy protocols, regulatory requirements, and patient safety standards. Works closely with pharmacists, pharmacy technicians, and couriers to support efficient delivery and excellent customer service.

  • Inventory Management

Supports maintenance of established inventory levels of medications and supplies. Assists with receipt and stocking of medications and supplies from designated vendors and Supply Chain. Rotates pharmacy inventory to ensure oldest stock is utilized first and all expired supplies and medications are removed prior to stated expiration date.

  • Quality Assurance

Completes and documents various quality assurance measures and checklists including, but not limited to: cleaning logs, equipment maintenance, inventory management logs, and any other record keeping tools as required. Follows all department and hospital environment of care and waste control from pharmaceutical and non-pharmaceutical waste in accordance with established standards, procedures, and regulatory requirements.

  • Department Requirements

Participates in a variety of department process improvement initiatives, in-service programs, and meetings to maintain ongoing awareness of best practices, methods, and techniques. Utilizes departmental training to serve as a trainer for new staff as requested. May be asked to complete department relevant continuing education.

  • Specialist Technician Roles (proficient in 2 of the 3 roles)

a. Prescription Discharge Delivery Service

i. Supports the Prescription Delivery Service Navigator and pharmacist with prescription processing, secures delivery of prescription orders to the patients/LAR, and collects copayments as required to ensure timely hospital discharge and continuity of medication therapy.

b. Buyer / Supply Chain

i. Actively serves as a purchasing expert for all related systems for purchasing and inventory management, ensures appropriate 340B split billing, manages backorders, and arranges for urgent or emergent products as directed by pharmacy leaders or other personnel.

c. Patient Care Coordination

i. Assesses patient insurance coverage and entitlement benefits, facilitates the financial approval process, documents and communicates financial information, and resolves patient billing and reimbursement issues. Coordinates financial information flow among payors and team members, helps to develop and monitor system functionalities, gathers, and reports financial data and assists with third party and Medicare B claims and audits primary point of contact for Transplant services and other complex patient care services.

  • Performs miscellaneous job related duties as requested.

About the Company

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Phoenix Children's Hospital