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Pharmacy Care Coordinator

2 months ago

Lexington, United States Baptist Health Full time
Job Description:

Baptist Health is looking for a Pharmacy Care Coordinator to join our team at our Baptist Health Hamburg location.

  • Complete benefit investigations to verify patient eligibility for prescribed specialty medications.
  • Assess requirements for authorization of medications and maintain current knowledge of payer formularies and reimbursement.
  • Support third party prior authorization process and obtain appropriate overrides.
  • Maintain accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy.
  • Identify financial assistance options to maximize copay savings.
  • Facilitate enrollment of patients in patient assistance programs.
  • Serve as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide administrative support, communicate changes in medication and related coverage.
  • Utilize Electronic Health Record to maintain communication between departments and ensure accurate documentation in patient electronic charts.
  • Support pharmacist with in-clinic or telephonic patient activities.
  • Perform phone functions in a professional and timely manner. i.e.: answering phones, returning calls, and checking voice mail, in a timely manner.
  • Complete patient refill coordination outreach.
  • Coordinate patient scheduling for initial and follow up appointments.
  • Triage patient clinical questions and third-party insurance denials to the pharmacist for intervention as appropriate.
  • Provide input on the clinic marketing strategy with the goal of increasing patient recruitment.
  • Maintains record of activities to support data collection, analysis, and ongoing reporting to leadership related to patient metrics and financial performance.
  • Maintains patient confidentiality and a professional demeanor at all times with patients, providers and staff.
  • Acts as a contact person for all non-clinical patient/customer questions.
Minimum Requirements
  • High school diploma or equivalent.
  • Current or eligible for Kentucky and/or Indiana pharmacy technician registration.
  • Kentucky and/or Indiana pharmacy technician registration required within 30 days of hire.
  • National Pharmacy Technician Certification preferred.
  • 2 years pharmacy technician experience preferred.
  • Prior experience with third party billing, financial counseling, or medical terminology and coding preferred.
  • Prior experience with Epic EMR preferred.
  • Intermediate knowledge of computer systems and software, including Microsoft Excel and Microsoft Word preferred.


If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now

Baptist Health is an Equal Employment Opportunity employer.