Specialty Pharmacy Technician (hybrid)
 Mass General Brigham (Enterprise Services) | |
 United States, Massachusetts, Burlington | |
| 31 North Avenue (Show on map) | |
 Jan 22, 2025 | |
|
General Summary/Overview:
Work directly with patients, Specialty Pharmacy staff, and clinic staff to manage the specialty medicationneeds of Mass General Brigham patients. Understand the complex medication needs of patients andcoordinate with pharmacy and medical/nursing staff to meet those needs while providing extraordinaryservice. Assist patients with benefit coordination and financial assistance, manage prior authorizations,and ensure patients receive their medications at the appropriate time. Principle Duties and Responsibilities: - Work with physicians, nurses and pharmacists to ensure that each patient receives the medicationshe/she needs at the appropriate time: - Review medication regime with patient to determine which medications need to be dispensed - Process medication orders confirming that they are billed to all third parties correctly - Monitor patient concerns, charts and profiles to meet their medication therapy needs Support MGBSP Patient Needs: - Answer patient questions about the service, insurance issues, financial assistance needs, etc. - Ensure all questions are answered timely and accurately - Ensure clinical questions are appropriately escalated to a pharmacist - Ensure employee back-up coverage is trained and knowledgeable - Report any Patient Safety Events according to MGB SP guidelines Commit to Building Relationships: - Quickly forge and sustain (or develop and maintain) strong relationships with pharmacists, coworkers, prescribers, nurses and patients to build/support the services we provide - Provide caring service, adjusting approaches to reflect developmental level and culturaldifferences of population served - Improve processes to facilitate communication and service between patient, and clinic, infusioncenter and discharge pharmacy teams to ensure accurate and timely delivery of medications - Participates in MGB SP Clinical Subcommittees Act as the insurance specialist: - Understand Medicare/Medicaid regulations and billing guidelines as they pertain patientpharmacy benefits - Understand billing primary, secondary and tertiary insurance claims - Resolve any billing issues and obtain Prior Authorizations for medications. - Obtain benefit information and verify patient insurance eligibility and level of coverage - Cross train within PCC roles as directed to support emergent and ongoing business needs. Qualifications:
License/Certification/Registration:
Minimum Experience:
Preferred Experience:
Additional Requirements:
Respect the confidentiality of all information, including information regarding patients, staff members or Health System business issues and share information only with those who need to know. Due to differences in scope of care, practice, or service across settings, the specific experiencerequired for this position may vary Supervisory Responsibilities: N/A Fiscal Responsibility: N/A Working Conditions:
Physical Requirements
Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. | |