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Pharmacy Care Coordinator Specialist

2 months ago

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

Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to join our Cardiology team. As a key member of our team, you will play a vital role in ensuring patients receive timely and effective medication therapy.

Key Responsibilities
  • Conduct thorough benefit investigations to verify patient eligibility for prescribed specialty medications.
  • Assess requirements for authorization of medications and maintain current knowledge of payer formularies and reimbursement.
  • Support third-party prior authorization processes and obtain necessary overrides to expedite therapy.
  • Maintain accurate insurance information and monitor for prior authorization renewal needs to prevent gaps in medication therapy.
  • Identify financial assistance options to maximize copay savings and enhance therapy adherence.
  • Collaborate with healthcare professionals to provide support and ensure seamless communication.
  • Utilize electronic medical records to maintain accurate documentation and facilitate communication between departments.
  • Support pharmacists with in-clinic or telephonic patient activities and facilitate adherence to medications through coordinated outreach efforts.
  • Triage patient clinical questions and third-party insurance denials to pharmacists for intervention as needed.
Requirements
  • High school diploma or equivalent.
  • Current or eligible for Kentucky pharmacy technician registration.
  • National Pharmacy Technician Certification preferred.
  • 2+ years of pharmacy technician experience preferred.
  • Prior experience with third-party billing, financial counseling, or medical terminology and coding preferred.
  • Prior experience with Epic EMR preferred.

Baptist Health is an Equal Employment Opportunity employer.