pharmacy tech.

The Pharmacy Tech/Patient Access Rep supports patients, healthcare providers, and internal teams by coordinating all aspects of access to specialty and biologic medications. This role ensures timely benefits investigations, prior authorization support, financial assistance navigation, and proactive communication to remove barriers and assist patients in starting therapy quickly and smoothly.

Key Responsibilities

Benefits Investigation & Coverage Verification

Conduct comprehensive benefit investigations for biologic and specialty therapies.

Verify insurance eligibility, coverage limitations, deductible/co-pay amounts, and specialty pharmacy requirements.

Identify prior authorization, step therapy, quantity limit, or reauthorization needs.

Prior Authorization & Appeal Support

Gather clinical documentation required for prior authorization (PA) submissions.

Communicate PA criteria, required forms, and next steps to providers.

Track PA status closely and provide timely updates.

Assist with written or verbal appeals when coverage is denied.

Financial Assistance Coordination

Screen patients for co-pay assistance, foundation grants, or manufacturer-sponsored programs.

Help patients complete required paperwork and follow up on application status.

Work closely with internal and external stakeholders to ensure funding alignment with payer requirements.

Patient Communication & Support

Provide clear, compassionate communication regarding coverage status, delays, or next steps.

Educate patients on therapy onboarding, timelines, and support program resources.

Manage inbound and outbound calls with professionalism, accuracy, and empathy.

Provider & Pharmacy Coordination

Collaborate with provider offices to obtain missing documentation, signatures, or clinical details.

Communicate with specialty pharmacies regarding prescriptions, triage steps, and authorizations.

Ensure complete, accurate information flows between all parties to avoid delays.

Documentation & Compliance

Maintain detailed, accurate progress notes in Caretend, AssistPoint, or other internal system platforms.

Adhere strictly to HIPAA guidelines and internal compliance standards.

Track and document all steps to support audits, URAC requirements, and internal QA expectations.

Workflow & Performance Expectations

Meet productivity and quality benchmarks, including turnaround times for BVs/PAs, quality audit standards, and call handling metrics.

Support cross-functional teams as needed based on business workload and service level needs.


Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.