Specialty Pharmacy Technician

Department:

Specialty Pharmacy Clinic

Union:

CHEU

Shift:

8-hour Shift - Variable (United States of America)

Hours Per Pay Period:

40

Job Description:

Range: 27.51-41.30

Posting Date: 9/15/2026

Internal Closing Date: 9/21/2026

* Internal candidates must apply by midnight on the Closing Date in order to have bidding rights.

Assists the specialty pharmacist and team with processes required to dispense high dollar specialty medications for chronic diseases, such as rheumatoid arthritis, psoriasis, osteoporosis, oncology, obesity, multiple sclerosis, etc. Manages phone calls from patients, providers, insurance companies, and third parties. Schedules and coordinates appointments with patients. Provides exceptional customer service. Contacts providers for new prescriptions, refills, insurance issues, and follow-ups as needed. Contacts insurance companies for eligibility, coverage information, and overrides. Works efficiently in multiple online portals and electronic medical records (Sharp, UnitedHealthCare, EPIC, BlueShield, FexEx, RightFax, Covermymeds, Cerner, Rx30, Onco-EMR, etc.) to verify insurance eligibility, referrals, CPT codes, provider notes, diagnoses, extensions, labs, coverage information (deductible, copay, etc.). Ability to multi-task. Prepares, organizes, updates, and maintains various databases and lists (weekly refill, referrals, deductibles, etc.). Ensures referrals are in date and refills obtained. Follows up as needed. Assists with data entry, filing, and document preparation. Collects, inputs, organizes, and prepares electronic patient charts, folders, collaborative practice agreements. Assists patients with manufacturer copay assistance programs, Processes, adjudicates, prepares, packages, labels, and sells prescriptions. Follows up on prescriptions that have not been picked up as scheduled. Operates a cash register. Prepares specialty medications for FedEx shipment to patients. Generates, prints, and tracks FedEx labels and medication deliveries. Follows up with patients to confirm delivery and receipt. Works with FedEx to resolve delivery issues. Regularly responds to emails and electronic faxes. Assists with updates to quarterly drug pricing sheets for specialty pharmacy medications from Cardinal. Assists with specialty pharmacy billing and reconciliation. Logs and tracks pharmacy and medical claims. Completes 1500 claim forms. Works closely with other providers and organizations to verify and reconcile billing claim issues. Maintains and orders specialty pharmacy supplies. Communicates and collaborates with specialty pharmacists, specialty technicians, outpatient pharmacy team members, greater Palomar Health team members, providers, third parties, insurance representatives, and patients. Replenishes pharmacy supplies, such as paper, labels, ice packs, cooler boxes, vials, caps, bottles, etc, which may involve lifting up to 50 pounds. Works collaboratively. Fosters a fair, ethical, safe, clean, and inclusive work environment. Performs other duties as assigned. Complies with local, state, and federal regulations. Understands and adheres to Health Insurance Portability and Accountability Act (HIPAA) regulations. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.

Job Requirements

Minimum Education: As required by certification and/or licensure Preferred Education: Minimum Experience: 6+ months working as a pharmacy technician Preferred Experience: 6+ months working in retail pharmacy, specialty pharmacy, or other related settings; basic proficiency in basic Microsoft Excel, Outlook, Word, EPIC; strong organizational and multitasking abilities; excellent verbal and written communication; customer service and problem-solving skills Required License: CA Pharmacy Technician License Preferred License: Not Applicable Required Certification: Not Applicable Preferred Certification: Not Applicable

We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.