Pharmacy Care Coordinator Specialist
4 days ago
Job Summary:
Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to join our Cardiology team. The successful candidate will be responsible for providing exceptional patient care and support in a fast-paced clinical environment.
Key Responsibilities:
- Verify patient eligibility for prescribed specialty medications and complete benefit investigations.
- 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 to improve speed to therapy.
- 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 and increase therapy adherence.
- Serve as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide support.
- Utilize EMR to maintain communication between departments and ensure accurate documentation in patient electronic charts.
- Support pharmacist with in-clinic or telephonic patient activities.
- Facilitate adherence to medications by coordinating face-to-face or telephonic patient outreach to ensure timely refills.
- 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.
Requirements:
- High school diploma or equivalent.
- Current or eligible for Kentucky pharmacy technician registration (if not already registered with KY Board of Pharmacy, registration requires only an application and fee).
- 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.
About Baptist Health:
Baptist Health is an Equal Employment Opportunity employer. We are committed to providing a work environment that is inclusive, respectful, and supportive of all employees. If you are passionate about delivering exceptional patient care and support, we encourage you to apply for this exciting opportunity.
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