Specialty Pharmacy Coordinator

3 weeks ago


Newport News, Virginia, United States Riverside Health System Full time
Job Summary

Riverside Health System is seeking a highly skilled Specialty Pharmacy Technician to join our team. As a Specialty Medication Coordinator, you will be responsible for managing third-party billing and patient financial assistance for patients within the health system. You will assist with managing and processing high-dollar specialty medications and may be responsible for benefits investigation, obtaining prior authorizations, copay/foundation assistance, drug replacement services, and patient financial counseling.

Key Responsibilities
  • Timely process referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes.
  • Collaborate with other departments to assist in obtaining prior authorizations, patient assistance medications or financial assistance.
  • Accurately document all intake referrals and/or prior authorization information in patient medical records or patient assistance tracking software in compliance with policy and procedure/workflow.
  • Proactively track and manage patient refills/outreach to ensure timely prescription/infusion service.
  • Proactively work on prior authorization and patient assistance enrollments that are due to expire.
  • Secure patients' demographic and medical information in compliance with organization HIPAA policies and procedures.

Requirements
  • Familiar with medical and pharmacy terminology.
  • Prescription drug and over-the-counter knowledge.
  • Basic math skills, including pharmaceutical calculations.
  • Basic pharmacy workflow.
  • Understanding pharmacy computer systems.
  • Ability to navigate and read electronic health records.
  • Strong written and verbal communication skills.
  • Ability to prioritize, problem solve, and multitask.
  • Excellent customer service skills.
  • Knowledge of patient assistance programs.
  • Experience with prior authorization of medications.
  • Strong organizational skills and detail-oriented.

About Riverside Health System
Riverside Health System is a leading healthcare provider in the region, dedicated to delivering high-quality patient care and exceptional service. We are committed to creating a positive and supportive work environment that fosters growth and development for our employees.

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