Therapeutic Interchange Technician Specialist

Polaris Pharmacy Services•Fort Lauderdale, FL

About The Position

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

Requirements

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
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)

Nice To Haves

Framework LTC & General computer knowledge & 10-key Number Entry preferred

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