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Pharmacy Technician - Therapeutic Interchange

WHO WE ARE
At Polaris Pharmacy Services, we’re more than a pharmacy — we’re a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we’re raising the bar for quality and coordination across all sites of care, ensuring every patient receives seamless, compassionate, and expert support.

Founded in 2015, Polaris is proud to be locally and independently owned, with a growing national footprint. Our team thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job — we provide competitive pay, robust benefits, and genuine opportunities for career advancement.

If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us.

JOB SUMMARY:

The Pharmacy Technician - Therapeutic Interchange is responsible for accurate formulary application and billing for Nursing Homes, Assisted Living Facilities, Group Homes, and Private Pay statements.

SCHEDULE: 8:00am - 4:30pm

DUTIES/RESPONSIBILITIES:

Communicates selected Therapeutic Interchange formularies and prior authorization criteria to external and internal staff.
Communicates pharmacy benefit coverage and preferred product to facilities via phone, fax, email or dashboard.
Resolves pending therapeutic authorization changes in a timely manner to make the next run or escalates to Therapeutic Interchange Pharmacist for an alternative intervention.
Knowledge of Third Party Billing and claim resolution and adjudication
Knowledge of FFS and PPS Billing
Experience with census balancing and payor verification
Verify Insurance/Medicaid coverage
Knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining to Long Term Care
Assist with all customer billing inquiries in a courteous and professional manner
Enter fees and charges in Framework LTC
Follow all applicable government regulations including HIPAA
Comply with departmental policies regarding safety, attendance, and dress code
Overtime, holidays, and weekends may be required and/or expected
Conduct job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Other duties as deemed necessary by manager

QUALIFICATIONS/COMPETENCIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

REQUIRED SKILLS/ABILITIES:

Able to read, write, speak and understand the English language
Able to work in a fast-paced environment
Basic computer knowledge skills required
Basic math and analytical skills
Proficient in Microsoft Word, Excel, and Outlook required
Good organization/Attention to detail
Reliable
Able to work various shifts and days
Adaptability to an ever-changing environment

EDUCATION and/or EXPERIENCE:

High School diploma or equivalent
Registered Pharmacy Technician experience preferred.
Expert knowledge of Sig codes and the ability to calculate accurate days supplies of billed medication.
Two (2) years’ pharmacy billing experience required (long-term care preferred)
Framework LTC & General computer knowledge & 10-key Number Entry preferred

PHYSICAL DEMANDS

The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:

May sit or stand seven (7) to ten (10) hours per day
The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, walk
May be necessary to work extended hours as needed
May lift and/or move up to 30 pounds
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role

HOLIDAY & PTO POLICY

Paid holidays are provided annually, with 6 days offered each year, along with 5 sick days.
Employees earn up to 10 PTO days each year, with rollover options and milestone bonuses.
Employees have the option to cash out up to 10 PTO hours each quarter for added financial flexibility.

Please note, because we are a pharmacy most of our locations are open 24-hours a day, 7 days a week and therefore schedules may change as determined by the needs of the business.

BENEFITS for full time Employees