Specialty Pharmacy Call Center Technician

Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.    

Under pharmacist supervision, the Specialty Pharmacy Technician is responsible for three subgroups of patients (Hematology/Oncology, Inflammatory and Infectious Disease and Cardiology) is responsible for data entry of required information from the prescription and patient profile to process and adjudicate prescriptions. They initiate prior authorizations, coordinate with third-party payers, apply manufacturer copay cards and assist with financial aid applications. The technician also contacts patients to manage refills and schedule assessments.

A caregiver in this role works remotely from 7:00 a.m. – 6:00 p.m.

A caregiver who excels in this role will:  

• Initiate prior authorizations and communicates with third party payers on behalf of the physician and patient.  

• Find and apply manufacturer co-pay cards and initiate patient assistance and co-pay assistance applications.  

• Reach out to patients to manage refills and schedule necessary current and future assessments. 

• Ensure the accuracy of prescription and patient data entered various systems by verifying patient, drug, quantities, directions, day’s supply, insurance and physician data. 

• Conduct a thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims. 

• Explain benefit coverage and financial responsibilities to the patients.   

• Supply financial assistance contact information and/or initiates patient assistance and copay assistance applications on behalf of the patients.  

• Resolve aspects of specialty pharmacy insurances, including Medicare, Medicaid, Pharmacy Benefit Managers (PBM), and Preferred Provider Organizations (PPO) and communicates with payors and advises patients or physician of results as needed.   

• Communicate with patients professionally and customer-friendly to schedule the delivery of new and refilled medications and supplies. 

• Utilize all pharmacy systems to review patient profiles, enter changes and establish assessment schedules. 

• Document all patient/client/provider contact in appropriate computer systems. 

Minimum qualifications for the ideal future caregiver include:  

• High school diploma or equivalent 

• Active registration through the Ohio Board of Pharmacy (OBOP) as a Certified Pharmacy Technician required  

• OR Registered Pharmacy Technician or Pharmacy Technician Trainee with agreement of updating registration to a Certified Pharmacy Technician with the OBOP within six months of hire 

• Must be detail-oriented and able to identify and develop solutions by applying appropriate pharmacy standards and policies 

Preferred qualifications for the ideal future caregiver include:  

• One year of experience in a pharmacy technician role 

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

• Typical physical demands include ability to perform the job while standing, reaching, stretching, stooping, and sitting for prolonged times.

• Manual dexterity sufficient to perform computer and dispensing functions of the job.

• Ability to lift up to 20pounds while walking, stooping, bending and reaching.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.