Pharmacy Technician - Financial Clearance

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Exemption Status:

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

Union:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

I. Major Responsibilities:

Process medication authorizations requests, ensuring that appropriate and complete clinical documentation is supplied at time of submission. Review of payer denial letter to determine options available to obtain approval or recommend covered alternative. Ability to problem solve and investigate problem denials and provide clear instruction to the clinical team on action needed. Responsible for running test claims in Epic to assist the team with medication denials or rejections. Communication with outside retail pharmacies in order to resolve medication authorization issues and avoid delays. Interacts with providers and provider staff to resolve retail medication authorization denials or issues. Resolves common adjudication issues and troubleshoots with insurance when necessary. Follows departmental workflows and policies. Answers and responds to provider and patient telephone calls. Must work a minimum of one (1) shift per month in a UMMMC outpatient pharmacy. Participates in identifying problems or areas for improvement and assists supervisor with problem solving projects and improving operations. participates in Continuous Quality Improvement activities and/or teams.

Standard Staffing Level Responsibilities:

1. Complies with established departmental policies, procedures, and objectives.

2. Attends variety of meetings, conferences, seminars as required or directed.

3. Demonstrates use of Quality Improvement in daily operations.

4. Complies with all health and safety regulations and requirements.

5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

6. Maintains, regular, reliable, and predictable attendance.

7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:

Required:

High school diploma or equivalent. Current license with the Massachusetts Board of Pharmacy.

License must be maintained and current.

Certified by one of the national governing bodies such as PTCB, or the National Healthcareer Association ExCPT.

Certification must be maintained and current.

Experience/Skills:

Required:

Previous pharmacy technician experience, preferably in a retail pharmacy setting. Position requires proficiency in math and, knowledge and ability to use a computer. Must be able to follow oral and written instructions with accuracy, efficiency, and dependability. Positive work ethic, motivated and professional demeanor to promote teamwork in the department.

Preferred:

Epic Willow ambulatory training, Previous medication authorization experience.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Work is considered light to medium, with a considerable amount of standing and walking. May require occasional pushing and pulling of carts. Position requires work in doors, in patient care areas, in a pharmacy office environment, as well as in hazardous and non-hazardous IV clean rooms.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.