Specialty Pharmacy Patient Advocate

Primary City/State: Tucson, Arizona Department Name: BFP-Tucson Specialty Work Shift: Day Job Category: Pharmacy *UP TO A $5,000 SIGN ON BONUS AVAILABLE* Innovation and highly trained staff. Our Pharmacy team members play a critical role in ensuring the best care for our patients. Join a nationally recognized leader that values excellence and begin making a difference in people’s lives. Apply today! As a clinic based Specialty Pharmacy Patient Advocate for the Banner Dermatology clinic in Tucson, you will provide direct patient care to patients and their caregivers by assisting with financial assistance and prior authorizations. You will also work with Provider consultations, provide Pharmacist verification, fulfillment and work alongside Pharmacy Technicians. Specialty experience or experience with prior authorizations and/or financial assistance will be needed in this role. You will have the opportunity to work in a very rewarding line of work, with a high functioning team that offers opportunity for professional growth. Your schedule will be Monday-Friday working between 8:00AM - 5:30PM, no weekends or holidays currently required, (subject to change depending upon the needs of the business). Your first 8-10 weeks may require on-site training . After training is completed, your hybrid schedule will be between the hours of 8:00AM – 5:30PM, two to three days a week being onsite at the clinic. Recruiter to provide sign-on eligibility during the interview process. Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention. As a division, Banner Pharmacy services provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices. POSITION SUMMARY This position will determine, support and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third-party prior authorization and billing processes for pharmacy benefits. Assist patients with enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a face-to-face bedside-oriented service that delivers comprehensive fiscal options to patients and provide medication cost after transplant. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process. CORE FUNCTIONS 1. Coordinate with stakeholders to remove medication access barriers. 2. Maintain current knowledge of pharmacy regulations, payer agreements and assistance programs. 3. Provide timely medication benefit counseling to patients and hospital staff. 4. Accurate and timely execution of pharmacy projects as required. 5. Follow policies, procedures and regulatory requirements and perform other work assignments. MINIMUM QUALIFICATIONS Licensed and registered pharmacy technician in the state of practice, where applicable. Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire. Minimum of three years of healthcare and/or insurance/third party reimbursement experience required to include one year of technician experience required. Strong customer service focus, superior problem-solving abilities required. Proficiency in Microsoft Word, Excel, network, web-based and payer applications required. Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required. Ability to prioritize organization requirements and track progress of multiple initiatives. PREFERRED QUALIFICATIONS Completion of a Pharmacy Technician Certification Program. Associate’s or bachelor’s degree in business, healthcare or related field preferred. Prior authorization experience in specialty or retail pharmacy preferred. Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy rules and regulations preferred. Knowledge and experience utilizing McKesson Enterprise, Cerner and Therigy preferred Bi-lingual preferred Additional related education and/or experience preferred. EEO Statement: EEO/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. Privacy Policy Apply Job!