Specialty Pharmacy Coordinator

2 days ago


Newport News, Virginia, United States Riverside Health System Full time
Job Title: Specialty Pharmacy Coordinator

Riverside Health System is seeking a highly skilled Specialty Pharmacy Coordinator to join our team. As a key member of our pharmacy team, you will be responsible for managing third-party billing and patient financial assistance for patients within our health system.

Key Responsibilities:
  • 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.
  • Proactively track and manage patient refills/outreach to ensure timely prescription/infusion service.
  • Secure patients' demographic and medical information in compliance with organization HIPAA policies and procedures.
Requirements:
  • Familiarity with medical and pharmacy terminology.
  • Prescription drug and over-the-counter knowledge.
  • Basic math skills, including pharmaceutical calculations.
  • Basic pharmacy workflow understanding.
  • 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.

To learn more about being a team member with Riverside Health System, visit us at https://www.riversideonline.com/careers.



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