*Ensure that every patient who can benefit from specialty pharmacy services is identified and met in clinic or called upon to explain the benefits of enrolling into our patient management program.

*Onboard patients into the specialty pharmacy program.

*Perform benefits investigation/verification, navigate insurance claims, assist with prior authorization submission and renewals, enroll eligible patients into manufacture patient assistance and co-pay programs or assist patients without health insurance by connecting with the Enrollment department as applicable to ensure patients have access to the medication needed.

*Oversee services provided to enrolled patients from ensuring that everything from order entry to final verification is completed quickly, accurately and in accordance with patient's needs.

*Provide direct support to enrolled patients to ensure that they are supported throughout their therapy regimen and achieve their intended outcome. This includes:

oConduct outbound phone calls for patient support, adherence checks, refill reminders and delivery coordination.

oTriage any clinical questions to an appropriate pharmacist.

*Contact patients to resolve rejected claims, request payment information, establish priority of order or delivery details and inform patients about medication issues.

*Participate in developing new and/or improved processes for efficient, safe fulfillment of specialty medications.

*Provide exceptional customer service and serve as a role model by mentoring pharmacy technicians, interns and students.

*Displays effective file management by maintaining documentation and detailed records of specialty pharmacy program, medications dispensed, and value of medications provided to patients per program standard of practice.

*Work cooperatively with other staff members and clinic staff to achieve company business and compliance goals/objectives.

*Other duties as assigned.

Knowledge, Skills & Abilities

*Knowledge of health care administration, including Medicare, managed care, Medicaid and CHP+ eligibility and enrollment processes.

*Knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies.

*Excellent communication and organizational skills.

*Analytical thinking, problem solving, and process improvement skills.

*Strong customer service and communication skills.

*Ability to work independently and with little supervision.

*Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion.

*Ability to consistently implement program, department and organizational policies and procedures.

*Demonstrates exceptional interpersonal and customer service skills in all interactions with internal and external healthcare team members.

*Demonstrates exceptional interpersonal and customer service skills in all interactions with patients. Understands how state and federal laws, regulations, policies and procedures impact specific job responsibilities and functions.

*Demonstrates actions to reasonably prevent, detect, and report unethical and unlawful business practices.

Education

* High School Diploma or GED (Required) * Completion of a pharmacy technician training program preferred.* Mandatory one year of pharmacy experience within the Denver Health Ambulatory Pharmacy Department
* Associate's Degree

Experience

Credentials

* PTCB Certified Pharmacy Technician (Required) Pharmacy Technician Certification with Colorado SBOP is required. All Certifications and Licenses required for this job must be kept current as a condition of continued employment.Pharmacy Technician Certification with Colorado SBOP is required. All Certifications and Licenses required for this job must be kept current as a condition of continued employment.




Location
Conversion


Shift



Work Type
Full time


Pay Range

Minimum: 19.08

Midpoint: 23.85

Maximum: 28.62

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver's 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.

As Colorado's primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.

Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

"Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class."