Pharmacy Care Coordinator

4 days ago


Largo, United States BayCare Health System Full time

There's home care and then there's BayCare HomeCareAt BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.BayCare is currently in search of our newest Pharmacy Care Coordinator - HomeCare who is passionate about providing outstanding customer service to our communityPosition details:Facility: BayCare HomeCareLocation: Largo, FLStatus: PRN (as needed) / hourlyShift Hours: 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PMWeekend Work: OccasionalOn Call: NoPharmacy Care Coordinator responsibilities include:Process new referralsVerify all necessary information is included in the referral, entering new referrals and updates all existing patient information (insurance information, patient demographics benefit information) into the corporate IS systemsVerify all referrals meet all regulatory, payer, and safety requirementsCreate pharmacy packetsCommunicate information to the referral source and patient and/or caregiver on all deliveries to confirm address, patient responsibilities for co-payment and co-insuranceVerify insurance and benefits for all Medicare, Managed Care, and Private Fee for Service PlansUtilize the correct payer and diagnoses codesUnderstand medical criteria for securing all required information from the referral sourceEnter the appropriate financial information including benefits, deductibles, co-pays, coinsurance, out of pocket into the EHRTimely request and communication of authorizations to payer and documentation in EHRAdvise the patient and referral source on Medicare and Managed Care guidelines and reimbursement issues as needed, performs ICD-10 coding of referralsTimely response to referral sources, providers, and leadership is essentialMonitors and communicates referral source activity acting as one point of contact for referral sources, home health, and home infusionOther duties as assignedRequirements:High School or EquivalentPreferred Experience:1 year infusion related experience1 year insurance verification experience1 year pharmacy experienceComputer proficiency in Microsoft Office and Excel is preferredBayCare offers a competitive total reward package that may include health, dental, vision, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, and community discounts.CMS Requirements ApplyEqual Opportunity Employer Veterans/Disabled



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