Referral Coordinator, Specialty Pharmacy-Remote

2 weeks ago

Madison, United States Navitus Health Solutions LLC Full time
Job DescriptionJob Description

Lumicera Health Services Powered by Navitus

Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity.

Due to growth, we are adding this Referral Coordinator to our Sales and Account Management Department.

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

The Referral Coordinator will assist in processing all inbound specialty prescriptions from referring prescribers. They are tasked with coordinating and assuring the smooth flow of the prescription referral and prior authorization process to meet the needs of patients while establishing collaborative relationships and communication with the prescriber’s office.

Is this you? Find out more below

How do I make an impact on my team?

  • Work with prescriber’s offices to create a collaborative and professional relationship on behalf of Lumicera Health Services/Quality Drug Clinical Care
  • Initiate prescription prior authorizations on behalf of prescriber’s offices
  • Coordinate and confirm with patients’ prescription deliveries.
  • Initiate contact and create new potential clinic/prescriber relationships.
  • Communicate current and relevant prescription, insurance and financial needs as they relate to appropriate pharmacists, providers, clinical support staff and patients.
  • Interacts with clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff.
  • Responsible for other duties as assigned by the pharmacist lead/upper management.
  • The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee.
  • May be asked to perform other duties as requested by Supervisor.
  • Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care.

What our team expects from you?

  • High school diploma or GED, some college preferred. Certified CPhT or licensed Medical Assistant preferred.
  • One year experience in specialty pharmacy or medical office preferred
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Lumicera?

  • Hours/Location: Monday - Friday 8:00am-5:00pm, CST-Remote
  • Paid Volunteer Hours
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750
  • Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Nine paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program

#LI-Remote

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