Riverside Health System is currently seeking a full-time Specialty Pharmacy Tech (Insurance Verification & Prior Authorization Technician) to support the growth of our Specialty Pharmacy program. An insurance verification and prior authorization technician utilizes resources to offer concierge services to patients with specialty medications throughout Hampton Roads. The technician will work within the pharmacy to process prescriptions for specialty medications received, obtain prior authorizations, research copay/financial assistance programs, and promote the pharmacy to expand services. The technician must have the ability to research in electronic medical records to quickly retrieve necessary information required by insurance plans for prior authorizations. Refined communication skills is essential to interconnect with providers, patients, and PBMs.
Job Summary: Responsible for insurance verification/prior authorization functions for retail pharmacy operations, including communication with physician offices, communication with patients, working with manufacturers or other sources for patient co-pay assistance. Assists management with inspections, audits, reports, and training to ensure compliance with standards and to provide quality service. Demonstrates excellent communication (both verbal and written) and customer services skills. Performs other duties as assigned.
Education: a minimum of completion of high school required.
Licensure: Licensure with the State of Virginia as a Pharmacy Technician or Intern required.
Experience: 3 years (within the last 7 years) Pharmacy Technician experience required, 1 year Insurance verification and/or patient assistance programs preferred.