Pharmacy Tech - Specialty Prescription Coordinator, Hybrid

Memorial Hermann - Katy, TX

Full-time

Katy, TX

1,001-5,000 employees

Hospitals

About the position

The Specialty Prescription Coordinator at Memorial Hermann is responsible for managing prescription order entry, insurance verification, and the adjudication of claims. This role serves as a key point of contact for patients and healthcare providers, ensuring efficient communication and coordination of pharmacy financial assistance. The position emphasizes high-quality customer service and requires a strong understanding of pharmacy operations and insurance processes.

Responsibilities

• Enter prescriptions and process claims accurately for new/refill prescriptions.
• Clarify prescription orders with pharmacists and/or clinicians as appropriate.
• Conduct insurance benefit investigations to obtain patient eligibility and coverage information.
• Communicate with patients and caregivers regarding insurance investigations and financial responsibilities.
• Troubleshoot and resolve billing rejections and rebill claims to appropriate carriers.
• Submit prior authorization requests and follow up on their status.
• Confirm and process payment information and assist patients with pharmacy financial assistance forms.
• Provide customer service through inbound and outbound calls to schedule medication deliveries.
• Track packages to ensure timely medication delivery to patients.
• Collect clinical information essential for patient management and notify clinical staff of any patient side effects or requests.
• Assist with prescription and payer audits in accordance with company policy.
• Complete and maintain required documentation in pharmacy information systems.
• Communicate with pharmacy team members to coordinate timely prescription dispensing.
• Participate in staff meetings and assist with special projects.
• Maintain productivity rates and meet quality expectations set by management.
• Comply with all regulatory requirements, including HIPAA/HITECH.
• Promote individual professional growth and development through continuing education and skills competency.

Requirements

• High school diploma or GED.
• Licensed as a registered Pharmacy Technician in the State of Texas.
• Three years of experience in specialty, retail, mail order, or hospital pharmacy.
• Two years of experience in insurance verification, benefits, and eligibility investigations.
• Demonstrated attention to detail in task completion and communication with patients and healthcare providers.
• Ability to efficiently complete multiple daily work assignments independently.
• Ability to work cross-functionally to solve problems and improve quality and service.
• Knowledge of medical and pharmaceutical terminology and patient assistance programs.
• Demonstrated experience in customer service with strong interpersonal and communication skills.
• Functional skills with Microsoft Office Suite (Outlook, Excel, Word, PowerPoint).

Nice-to-haves

• Experience in specialty pharmacy or pharmacy benefit management.