Pharmacy Tech- Specialty Pharmacy Rep- King of Prussia
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Before you apply
LocationMontgomery County, PA
Work modeon-site
SeniorityEntry
Company size10,000+ people
PostedNov 3, 2026 · 2d ago
Verified live2d ago
At a glanceSummarised by Seekless from the posting.
Experience with claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities
Ability to enter patient information (name, date of birth, insurance information, allergies, medication history) into therapy-specific patient assessment software
Assist with filling and distribution of prescriptions under the direction of a patient care pharmacist in accordance with the law
Experience adjudicating and reviewing claims responses for reimbursement and profitability
Ability to analyze claims messages to determine next steps for order escalation
Ability to schedule delivery of high dollar/specialty medications to maintain patient adherence
Ability to assess patient need for clinical intervention based on refill questionnaire responses
Ability to identify barriers to care, non-compliance, changes in therapy/dosing and escalate to clinical support team
Ability to review patient chart to ensure accuracy
Ability to explain insurance coverage to patients regarding copay responsibility and financial resources
Ability to screen patients for financial assistance and apply on their behalf
Ability to print paperwork and fill prescriptions under supervision of a clinical pharmacist
Ability to track and monitor deliveries and intervene to reship if necessary
Participation in Quality Assurance/Quality Improvement activities (no less than 2% of time)
Interaction consistent with iSCORE values of Jefferson
Number of Positions In Requisition
0
Job Details
PRIMARY RESPONSIBILITIES:
The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians and pharmacists in the completion of: claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for
Jefferson Specialty Pharmacy patients. Responsibilities include entering the patient information; name, date of birth, insurance information, allergies and medication history into our therapy-specific patient assessment software. Assist with the filling and distribution of prescriptions, under the direction of a patient care pharmacist, in accordance with the law
Job Description
Location: Jefferson Specialty Pharmacy
Address: 3500 Horizon Dr, King of Prussia, PA 19406
ESSENTIAL FUNCTIONS:
• Adjudicate and review claims responses for reimbursement and profitability
• Analyze claims messages to determine next steps for order escalation as needed: Prior
Authorization, Benefits Investigation, Step Therapy, Non-Formulary, Financial Assistance, etc
• Schedule delivery of high dollar/specialty medications as well as other maintenance medications to
maintain patient adherence and compliance to prescribed therapy according to departmental policy
and guidelines
• Assess patient need for clinical intervention based on how they answer the refill questions or any
information they may provide unrelated to the refill assessment
• Identify any barriers to care, non-compliance, changes in therapy/dosing and escalate to the clinical
support team when appropriate
• Review patient chart to ensure all information is accurate and up to date
• Explain insurance coverage to patients as it relates to their copay responsibility and financial
resources available to them
• Screen patients for financial assistance and apply on their behalf where applicable
• Print paperwork and fill prescriptions under the supervision of a clinical pharmacist
• Track and monitor deliveries to ensure medication arrives to patient undamaged; intervene where
necessary to reship delivery
• Contributes to departmental Quality Assurance/Quality Improvement activities. Expected
participation no less than 2% of time – increased participation based on need/project.
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson
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