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Pharmacy Care Coordinator Specialist
2 months ago
Job Summary:
Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to support our Specialty Pharmacy team. As a key member of our team, you will play a vital role in ensuring seamless patient care and efficient medication management.
Key Responsibilities:
- Conduct thorough benefit investigations to verify patient eligibility for prescribed specialty medications, ensuring timely access to necessary treatments.
- Stay up-to-date on payer formularies and reimbursement policies to optimize medication authorization and minimize delays.
- Collaborate with healthcare professionals to obtain prior authorizations, resolve insurance denials, and facilitate patient scheduling for initial and follow-up appointments.
- Utilize electronic medical records to maintain accurate communication between departments and ensure comprehensive patient documentation.
- Support pharmacists with in-clinic or telephonic patient activities, promoting adherence to medications and timely refills.
- Triage patient clinical questions and third-party insurance denials to the pharmacist for intervention, ensuring prompt resolution and minimizing disruptions to patient care.
Requirements:
- High school diploma or equivalent.
- Current or eligible for Kentucky pharmacy technician registration (if not already registered with the 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.
