Overview: The Ambulatory Rx Assistance Pharmacy Technician provides prescription assistance for patients across the system in a number of ambulatory settings, including but not limited to infusion suites/expanded care, ambulatory clinics, and upon discharge from inpatient admission. This multi-faceted role requires expertise in Pharmacy and Billing with an understanding of Case Management and Social Work and facilitates financial assistance for patients related to prescription medications. Responsibilities:
Key Responsibilities & Patient Support
-
Assess Needs: Evaluate patients to identify prescription assistance needs and connect them with appropriate resources, manufacturer assistance, copay cards, and coupons.
-
Manage Applications: Identify qualified patients, secure necessary paperwork, and facilitate enrollment in medication assistance programs.
-
Coordinate Logistics: Oversee the execution of assistance programs, including product replenishment, co-pay reimbursements, payment arrangements, and foundational assistance.
Insurance & Pharmacy Coordination
-
Prior Authorizations: Submit and manage prescription prior authorizations with health insurance providers.
-
Liaise with Stakeholders: Contact community agencies, insurance companies, and pharmacies to gather information and coordinate care.
-
Benefit Tracking: Monitor the posting of payments and reimbursements for medical benefit drugs to ensure assistance is successfully secured.
Clinical Collaboration & Documentation
-
Discharge Planning: Collaborate with RN care coordinators, social workers, and pharmacists to build and execute a prescription plan for discharging patients.
-
Care Team Communication: Inform the patient and care team of the planned prescription assistance strategy.
-
Compliance: Document all interactions and completed work accurately in the Epic Systems electronic health record, strictly adhering to the CM107 documentation policy.
Program Administration & Reporting
-
Protocol Adherence: Strictly follow the One Time Prescription Assistance Protocol for patients being discharged from the hospital.
-
Metric Tracking: Track, monitor, and report performance and financial metrics to your supervisor in a timely manner.
Qualifications:
- Standard Certification: Not required to start. However, you must become a Certified Pharmacy Technician within 2 years of your license issue date.
-
Registration: You must obtain your Illinois Department of Financial and Professional Regulation (IDFPR) license within 60 days of applying.
-
Exceptions: Student pharmacists and technicians licensed before 1/1/2008 are exempt and do not need to get certified.
-
High school diploma or GED equivalent.
-
Experience in a related field is preferred.
Carle Health Company Overview:
Find it here.
Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].
Salary Range: The compensation range for this position is $18.26per hour - $29.58per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
