Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests and HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information. Our roots began in 1981 as the Montrose Clinic, specializing in HIV education, testing, and treatment. Since then, the agency has expanded to over 50 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision, and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities. Job Description Ensures patients have access to medications by: Processing medication renewal requests per procedure. Processing medication prior authorization for both pharmacy and medical coverage. Providing outreach efforts to clients at risk of falling out of care by scheduling appointments and providing prescription refills as needed. Essential Functions Serve as liaison between Legacy clients and the provider/pharmacy to minimize time between medication needs being met. Monitor all incoming requests for prescription renewals (i.e. from electronic renewal requests, pharmacies, and patients) and respond as per protocol within 48 hours of receipt. Identify requests that fall outside prescription renewal guidelines and seek assistance from pharmacists and providers when appropriate. Demonstrate ability to understand the provider’s plan for appropriate patient follow-up. Take proactive actions to ensure patients’ continued accessibility to prescriptions, including making appointments, providing refills, communicating with providers, and obtaining lab orders when necessary. Monitor and respond to incoming prior authorization requests promptly. Demonstrate proficiency in the medication prior authorization process, including verification of benefits, gathering relevant clinical information, submitting prior authorization (both pharmacy and medical), and preparing appeals as necessary. Maintain accurate and updated documentation for all activities in Legacy’s EMR and Pharmacy system. Communicate effectively and timely with internal and external stakeholders. Perform additional duties as assigned. EDUCATION&TRAINING REQUIREMENTS High School Diploma or equivalent required. Certification as a Pharmacy Technician. Basic Life Support (BLS) Certification. WORK EXPERIENCE REQUIREMENTS Minimum 5 years’ experience as a pharmacy technician. As part of our values that Healthcare is a Right and not a Privilege, we offer a suite of benefits: Medical / Vision / Dental: Costs of benefits are based on your yearly salary. Medical visit copays are waived when seeing a Legacy provider. 9 Holidays 1 Floating Holiday 403b Retirement Plan Bright Horizons Back-up Care: As a user of Bright Horizons Back-Up Care, you can conveniently schedule care right from your mobile device with the Back-Up Care app. Paid Time Off (PTO): PTO Exchange will provide you with the option to convert a portion of your accrued but unused PTO hours for use toward several different benefits and causes, based on your own priorities. With PTO Exchange, you can convert a portion of your unused PTO into: 403(b) Retirement contributions. Student loan payments / Tuition for the employee. Leave Sharing donations to fellow employees. J-18808-Ljbffr