Specialty Pharmacy Technician

Specialty Pharmacy Technician

A Specialty Pharmacy Technician is responsible for contributing to efficient and effective pharmacy operations, including but not limited to:

• Following all Company SOPs, federal, state, and local laws, regulations, professional standards, and ethics — including any Company employee agreements.

• Complying with all relevant pharmacy accreditation standards.

• Maintaining confidentiality of all patient and Company information (HIPAA compliance required).

• Adhering to pharmacy workflow procedures at each assigned task station.

• Supporting a high-performing team by taking initiative, improving patient care, and being receptive to feedback.

• Remaining flexible for scheduling and business needs.

Duties and Responsibilities

Under the supervision of the Manager/Director, Pharmacy Manager, or Staff Pharmacist:

• Handle telephone calls that do not require the pharmacist’s direct attention

• Gather and complete patient information profiles accurately

• Verify insurance and benefits eligibility, including copay assistance or other aid programs, and guide patients accordingly

• Triage prescriptions appropriately to internal and external providers

• Manage patient documents promptly and accurately

• Enter prescription data accurately into pharmacy software systems

• Identify payer types and requirements based on insurance information

• Determine payer requirements such as Prior Authorization, Step Therapy, and Specialty Drug restrictions

• Use prescriber, insurance, and pharmacy portals to enhance communication

• Troubleshoot and resolve claim issues, including managing a portfolio of rejected claims, with working knowledge of Medicare Part D and other third-party plans

• Ensure timely billing, including completing and submitting prior authorization forms

• Stay current on payer policies, program changes, and financial assistance resources

• Communicate and collaborate with prescribers and their staff regarding prescription needs, financial assistance, or prior authorizations

• Fill prescriptions by retrieving, counting, and pouring medications (as required)

• Assist with inventory management, including ordering, unpacking, and receiving medication shipments

• Perform general administrative duties such as filing, returning calls, and assisting in-person customers

• Verify and collect payment information pertaining to patients shipment.

• Duties and responsibilities may vary based on business needs, state board of pharmacy regulations, licensure requirements, accreditation standards, and the state in which the employee is licensed and/or physically performing work.