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Pharmacy Patient Care Coordinator
2 months ago
Job Overview:
Baptist Health is seeking a dedicated Specialty Pharmacy Care Coordinator to enhance our healthcare team.
Key Responsibilities:
- Conduct benefit investigations to confirm patient eligibility for specialty medications.
- Evaluate authorization requirements for frequently prescribed medications and stay updated on payer formularies and reimbursement processes.
- Assist with the third-party prior authorization process and secure necessary overrides to expedite therapy initiation.
- Ensure accurate insurance details are maintained and monitor prior authorization renewals to prevent interruptions in medication therapy.
- Identify financial assistance programs to optimize copay savings and improve therapy adherence.
- Act as a liaison among healthcare professionals, including physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide comprehensive support.
- Utilize electronic medical records (EMR) to facilitate communication across departments and ensure precise documentation in patient charts.
- Support pharmacists with patient interactions, whether in-clinic or via telephone.
- Promote medication adherence by coordinating patient outreach for timely refills through face-to-face or telephonic communication.
- Organize patient scheduling for both initial and follow-up appointments.
- Address patient clinical inquiries and third-party insurance denials, directing them to the pharmacist for appropriate intervention.
Qualifications:
- High school diploma or equivalent required.
- Current or eligible for pharmacy technician registration (if not already registered, the process involves submitting an application and fee). National Pharmacy Technician Certification is preferred. A minimum of 2 years of pharmacy technician experience is advantageous.
- Experience with third-party billing, financial counseling, or familiarity with medical terminology and coding is preferred.- Prior experience with Epic EMR is beneficial.
- Intermediate proficiency in computer systems and software, including Microsoft Excel and Microsoft Word, is preferred.
Baptist Health is committed to fostering a diverse and inclusive workplace.