Medication Therapy Management Specialist, MTM
Prime Therapeutics
Specialty Pharmacy Technician, Call Center
Beth Israel Lahey Health
full-time
Posted on:
Origin: • 🇺🇸 United States • Massachusetts
Visit company websiteJob Level
Junior
About the role
- Accurately input patient, insurance, and prescription information into the pharmacy system.
- Answer incoming calls and assist callers with non-clinical inquiries and pharmacy-related services.
- Resolve and ensure proper adjudication of claims and contact insurance companies for benefit investigation and coverage eligibility.
- Confirm patient benefits with insurance and determine required authorizations for prescribed therapy.
- Maintain new and existing patient profiles and enter new prescriptions into patient profiles.
- Contact patients to schedule medication deliveries and verify address information.
- Escalate clinical inquiries to pharmacists and grievances to supervisors.
- Ensure patient health information is preserved per HIPAA & PHI guidelines.
- Perform light physical tasks (stand periodically, move around campus) as required.
Requirements
- High School diploma or GED required.
- License Mass Registered Pharmacy Tech required.
- 1-3 years related work experience required.
- Previous data entry experience (minimum three months).
- Experience with computer systems, including web-based applications and Microsoft Office (Outlook, Word, Excel, PowerPoint, Access).
- Ability to communicate clearly in written and spoken English.
- PTCB certification (preferred).
- Specialty Pharmacy experience (preferred).
- Pharmacy data entry and PBM Billing experience (preferred).
- Ability to follow procedures, make routine decisions, and escalate when necessary.
- Ability to maintain patient health information per HIPAA & PHI guidelines.
- Influenza (flu) vaccination required as a condition of employment.
