Role Description The Pharmacy Technician, Order Processing plays an important role in delivering medication and pharmaceutical care in communities. This includes developing close relationships with patients in communities we serve and assisting the pharmacists in accurately preparing and delivering prescription medication. - Manage inbound calls and make outbound calls related to setting up orders, working with medical providers, patients, and other pharmacy staff to ensure patients receive their medication in a timely manner. - Input patient data and prescription information into pharmacy information management system. - Assist the Pharmacist in filling prescription orders, as permitted by the State Boards of Pharmacy. - As permitted by applicable state laws, take verbal prescription orders from licensed prescribers and transfer prescriptions between dispensing pharmacies. - Review patient insurance coverage status and adjudicate claims for patient orders. - Enter prescriptions in pharmacy system. - Maintain knowledge of and abide by applicable pharmacy laws and regulations. - Communicate with all customers (patients, clinics, caregivers, physicians) in a pleasant and professional manner. Qualifications - High School diploma, GED or equivalent, or equivalent work experience, preferred. - 1-2 years of experience in mail order or retail pharmacy setting, preferred. - Registered or Certified Pharmacy Technician, preferably in a retail, mail order, or specialty pharmacy, preferred. - Active state or national certification in good standing. - Insurance billing experience, preferred. Requirements - Applies acquired knowledge and skills to complete standard tasks. - Readily learns and applies new information and methods to work in assigned area. - Maintains appropriate licenses, training and certifications. - Works on routine assignments that require some problem resolution. - Works within clearly defined standard operating procedures and/or scientific methods. - Adheres to all quality guidelines. - Works under moderate degree of supervision. - Work typically involves regular review of output by work lead or supervisor. - Refers complex unusual problems to supervisor. Benefits - Medical, dental and vision coverage. - Paid time off plan. - Health savings account (HSA). - 401k savings plan. - Access to wages before pay day with myFlexPay. - Flexible spending accounts (FSAs). - Short- and long-term disability coverage. - Work-Life resources. - Paid parental leave. - Healthy lifestyle programs.

• Completely and accurately document all Medical Information Requests, Adverse Events and Product Quality Complaints in compliance with Inizio Engage, Client and Federal guidelines and regulations • Conduct study compliance calls to volunteers enrolled in clinical/medical research trials • Enroll participants in educational seminars • Provide patient support to patients enrolled in Patient Support Programs • Collect demographic data and disposition for product, sample and literature fulfillment • Maintain excellent quality and productivity standards for all client programs; adhere to program scripts and guidelines • Accurately collect information required by individual programs and correctly capture in specific program databases • Exhibit effective communication and tele-management skills • Converse with callers in an empathetic manner and facilitate the callers in their ability to understand medical terminology, as needed • Display flexibility within department to maximize utilization, including performing administrative and non-telecommunication duties as needed • Adhere to all company policies and Standard Operating Procedures • Must safeguard patient privacy and confidentiality by following the guidelines set forth in the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA) • Update and submit resume upon requests for audits

Role Description - Complete insurance verification and eligibility checks. - Collect and accurately document initial pre-certification/authorization information if available. - Initiate the process of obtaining a required referral/authorization if not obtained. - Work assigned Epic work queue, following the department’s workflow process on appropriately transferring, deferring, or removing orders from the work queue. - Proactively communicate issues involving customer service and process improvement opportunities to management. - Maintain excellent public relations with patients, patients’ families, and clinical staff. - Demonstrate a willingness and ability to work collaboratively with others for concise and timely flow of information. - Maintain knowledge of Medicare, Medicaid, and third-party payer requirements, guidelines, and policies. - Update the patient, physician's office, and any necessary parties regarding responses and outcomes of prior authorizations. - Act as a liaison between physician's office, patient, and pharmacy benefit manager to initiate and resolve appeals, as needed. - Identify and assist patients with access to internal and external financial assistance programs. - Communicate to the patient and/or physician's office when authorization is not obtained or services are not covered, and explain the potential financial responsibility. - Coordinate with patient, clinical team, and assistance programs to secure reimbursement or alternative covered options. - Manage incoming and outgoing calls, which may include other Advocate team members, departments, patients, insurance plans, and/or copay foundation/assistance programs. Qualifications - High School Graduate Requirements - Typically requires 1 year of experience in health care, insurance industry, pharmacy, or medical background. - Demonstrate ability to identify and understand issues and problems. - Ability to problem solve in a high profile and high stress area. - Mathematical aptitude, effective communication, and critical thinking skills. - Ability to prioritize and organize workload. - Excellent verbal and written communication skills. - Demonstrated technical proficiency including experience with insurance authorization/eligibility tools, EPIC, Microsoft Office, Internet browser, and telephony systems. Benefits - Paid Time Off programs. - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability. - Flexible Spending Accounts for eligible health care and dependent care expenses. - Family benefits such as adoption assistance and paid parental leave. - Defined contribution retirement plans with employer match and other financial wellness programs. - Educational Assistance Program. - Compensation based on qualifications, skills, relevant experience, and/or training. - Premium pay such as shift, on call, and more based on a teammate's job. - Incentive pay for select positions. - Opportunity for annual increases based on performance.

• Provide clinical expertise and strategic guidance to support pharmacy programs • Ensure compliance with state and federal regulations, including Medicaid/Medicare requirements • Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments • Perform peer-to-peer consultations with providers and support prescriber outreach for identified clinical interventions • Provide clinical guidance to call center teams and support pharmacy-related inquiries and escalations • Contribute to quality improvement initiatives, program optimization, and development of best practices