About this role
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 pharmacists 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.
Qualifications
Required Qualifications
- State-level licensure and national certification as required by the home state and state board of pharmacy
- Regular and predictable attendance, including evenings, weekends, and holidays
- Ability to complete required training within designated timeframes
- Ability to provide excellent customer service in person and over the phone, demonstrating compassion and empathy
- Strong communication skills with the ability to read, write, speak, and understand English
- Ability to work in a fast-paced environment and pivot quickly between tasks
- Ability to work both independently and collaboratively
- Basic math and analytical skills
- Proficiency in Microsoft Office (Outlook, Excel, Teams) and ability to produce departmental reports as needed
Preferred Qualifications
- 1–3 years of experience as a Pharmacy Technician
- Previous experience in a pharmacy or medical setting
- Previous customer service or retail experience
Physical Demands
- The physical demands described here represent those required to successfully perform the essential functions of this job:
- May sit or stand 7–10 hours per day
- May occasionally need to sit, climb, balance, stoop, kneel, bend, or walk
- May be required to work extended hours as needed
- May lift and/or move up to 30 pounds
- Must be able to function in typical pharmacy work environments
- Must pass background and drug test