Pharmacy Care Coordinator

3 days ago


Largo, Florida, United States BayCare Health System Full time
Pharmacy Care Coordinator - Home Care

BayCare Health System is seeking a skilled Pharmacy Care Coordinator to join our Home Care team. As a Pharmacy Care Coordinator, you will play a critical role in ensuring the seamless delivery of pharmacy services to our patients.

Key Responsibilities:
  • Process new referrals and verify all necessary information
  • Enter new referrals and updates into the corporate IS systems
  • Verify referrals meet regulatory, payer, and safety requirements
  • Create pharmacy packets and communicate information to referral sources and patients
  • Verify insurance and benefits for Medicare, Managed Care, and Private Fee for Service Plans
  • Utilize correct payer and diagnoses codes
  • Enter financial information into the EHR
  • Request and communicate authorizations to payers and document in EHR
  • Advise patients and referral sources on Medicare and Managed Care guidelines and reimbursement issues
Requirements:
  • High School or Equivalent
  • Preferred Experience: 1 year infusion related experience, 1 year insurance verification experience, 1 year pharmacy experience
  • Computer proficiency in Microsoft Office and Excel
What We Offer:

BayCare offers a competitive total reward package, including health, dental, vision, paid time off, tuition reimbursement, 401k match, and additional yearly contribution. We also offer yearly performance appraisals with merit increases, yearly team award bonus, and community discounts.



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