Pharmacy Care Coordinator Specialist

4 weeks ago


Elizabethtown, Kentucky, United States Baptist Health Full time
Job Summary:

The Specialty Pharmacy Care Coordinator will be responsible for ensuring seamless patient care by verifying patient eligibility, assessing requirements for medication authorization, and maintaining accurate insurance information. This role will also involve supporting third-party prior authorization processes, identifying financial assistance options, and serving as a liaison between departments.

Key Responsibilities:

Verify patient eligibility for prescribed specialty medications
Assess requirements for medication authorization and maintain current knowledge of payer formularies and reimbursement
Support third-party prior authorization processes and obtain necessary overrides
Maintain accurate insurance information and monitor for prior authorization renewal needs
Identify financial assistance options to maximize copay savings and increase therapy adherence
Serve as a liaison between departments, including physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers

Requirements:

High school diploma or equivalent
Current or eligible for Kentucky pharmacy technician registration
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 committed to supporting clinical excellence, teamwork, and innovation. We are a growing family dedicated to providing exceptional patient care and improving the health of our community.

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