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Specialty Pharmacy Account Coordinator

2 months ago

Maryland Heights, United States Mercy Full time

We’re a Little Different

 

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

 

Overview:

 

The Specialty Pharmacy Account Coordinator is responsible for multiple facets of patient account coordination including insurance/benefit verification, rejection and denials management and collections. The Specialty Pharmacy Account Coordinator is also responsible for knowing which assistance programs, such as drug copay cards and/or foundations, patients may qualify for, assisting patients in enrolling in those programs, monitoring services rendered and billing the assistance programs for the applicable funds. This position requires a thorough understanding of all available programs, funding guidelines, claims procedures and insurance company regulations, as well as oncology coding and billing. This position monitors insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements and/or claims submission requirements. This position requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Specialty Pharmacy Account Coordinator serves as a resource for other staff and patients. This position serves as a Senior Pharmacy Technician as needed. Performs duties in a manner consistent with Mercy Service Standards.


Qualifications:

  • Education: Some college hours in Business, Finance and/or Accounting related courses preferred.
  • Licensure: Current Missouri Pharmacy Technician license in good standing.
  • Experience: A minimum of 3 years related experience required including 1 year of

    relevant pharmacy experience.

  • Certification/Registration: Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB) is required within six months from start.

  • Skills and Abilities:

    • Interpersonal, organizational, and analytical skills required.

    • Must possess ability to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.

    • Ability to use logic, good judgment ad be able to rapidly identify and initiate corrective actions when problems arise.

    • Must be able to communicate effectively providing good written and oral direction to co-workers.

    • Must be able to work effectively with VBO management and co-workers in demanding situations.

 

 

We Offer Great Benefits:


Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period

 

We’re bringing to life a healing ministry through compassionate care.


At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.


What Makes You a Good Match for Mercy?


Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.