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Cleveland Clinic

Non-profit medical center delivering care

Pharmacy Technician - Specialty Call Center

PharmacyPosted on Nov 3
Full-timeOhio, USA

About the Job

Requirements

  • A high school diploma or GED is required.
  • Upon hire, candidates must hold Certified Pharmacy Technician (CPhT) certification through the Pharmacy Technician Certification Board (PTCB) or the National Healthcare Association (NHA).
  • Upon hire, candidates must hold an active Ohio Board of Pharmacy registration as a Certified Pharmacy Technician, Registered Pharmacy Technician, or Pharmacy Technician Trainee.
  • Caregivers with active Pharmacy Technician Trainee or Registered Pharmacy Technician registrations must update their Ohio Board of Pharmacy registration to Certified Pharmacy Technician within six months.
  • Applicants must reside within an hour's driving distance of Beachwood, Ohio.
  • Candidates must be able to perform the job while standing, reaching, stretching, stooping, and sitting for prolonged periods.
  • Candidates must have sufficient manual dexterity to perform computer and dispensing functions.
  • Candidates must be able to lift up to 20 pounds while walking, stooping, bending, and reaching.
  • Candidates must follow standard precautions and use personal protective equipment as required.
  • Caregivers must comply with the annual influenza prevention program by obtaining an influenza vaccination or an approved exemption.
  • Offers of employment are contingent on controlled-substance testing.

Responsibilities

  • Initiate prior authorizations and communicate with third-party payers on behalf of physicians and patients.
  • Find and apply manufacturer copay cards and initiate patient assistance and copay assistance applications.
  • Contact patients to manage refills and schedule necessary current and future assessments.
  • Ensure the accuracy of prescription and patient data entered into systems by verifying patient, drug, quantity, directions, days' supply, insurance, and physician information.
  • Conduct benefits investigations and process necessary prior authorizations or appeals for pharmacy claims.
  • Explain benefit coverage and financial responsibilities to patients.
  • Provide financial assistance contact information and initiate patient assistance and copay assistance applications on behalf of patients.
  • Resolve specialty pharmacy insurance issues, including Medicare, Medicaid, Pharmacy Benefit Managers (PBMs), and Preferred Provider Organizations (PPOs), and communicate results to payors, patients, or physicians as needed.
  • Use pharmacy systems to review patient profiles, enter changes, and establish assessment schedules.
  • Document patient, client, and provider contact in appropriate computer systems.
  • Process specialty medication prescriptions, insurance benefits, and financial assistance requests.
  • Enter prescriptions into the computer system and manage incoming phone calls while balancing daily responsibilities.
  • Work with pharmacists, insurance companies, pharmacy technicians, the benefits department, and patients to support timely medication access and a positive patient experience.
  • Attend onsite training in Beachwood, Ohio during the first 90 days and quarterly onsite meetings thereafter.
  • Work Monday through Friday on an eight-hour shift scheduled from either 7:30 a.m. to 4:00 p.m. or 8:00 a.m. to 4:30 p.m.; weekend and holiday coverage is not required.

Desired Qualifications

  • Experience in retail.
  • Experience with billing and insurance.
  • Experience with prior authorization.

About the Company

Cleveland Clinic

Non-profit medical center delivering care

Cleveland Clinic runs a nonprofit academic medical center that delivers patient care, conducts research, and educates future clinicians. It provides in-person hospital services, surgeries, and telehealth options, plus digital tools like MyChart to manage care, as well as provider tools such as DrConnect and eRadiology to coordinate care. It differentiates itself by combining clinical care, medical research, and education under a nonprofit model with a broad international network and a strong emphasis on safety and quality. Its goal is to deliver high-quality medical care while advancing medical knowledge and training clinicians to improve health outcomes for diverse populations, globally.

Company size
10,001+
Company stage
Grant
Total funding
$74.7M
Headquarters
Cleveland, OH
Founded
1921

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