Specialty Pharmacy Care Specialist

1 week ago


Elizabethtown, Kentucky, United States Baptist Health Full time

Position Overview:

Baptist Health is seeking a dedicated Specialty Pharmacy Care Coordinator to enhance our Cardiology services.

This role involves conducting thorough benefit investigations to confirm patient eligibility for specialty medications.
Evaluate the requirements for medication authorizations and stay informed about payer formularies and reimbursement processes.
Assist in the third-party prior authorization process and secure necessary overrides to expedite patient therapy.
Ensure accurate insurance data is maintained and monitor prior authorization renewals to prevent interruptions in medication therapy. Identify financial assistance resources to optimize copay savings and promote adherence to treatment plans. Act as a liaison among healthcare professionals, including physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to facilitate support.
Utilize electronic medical records (EMR) to ensure effective communication across departments and maintain precise documentation in patient charts. Support pharmacists with patient interactions, whether in-clinic or via telephone.
Encourage medication adherence by organizing in-person or telephonic outreach to guarantee timely refills.
Coordinate patient scheduling for both initial and follow-up consultations.
Direct patient clinical inquiries and third-party insurance issues to the pharmacist for appropriate intervention.
Qualifications:

High school diploma or equivalent required.
Current or eligible for pharmacy technician registration in Kentucky (registration requires only an application and fee). National Pharmacy Technician Certification is preferred. A minimum of 2 years of pharmacy technician experience is preferred.

Experience with third-party billing, financial counseling, or medical terminology and coding is advantageous.
Familiarity with Epic EMR is preferred.
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.



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