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Pharmaceutical Care Liaison

2 months ago

New Albany, Indiana, United States Baptist Health Full time

Job Overview:
Baptist Health is seeking a dedicated Specialty Pharmacy Care Coordinator to enhance our patient care team.

Key Responsibilities:
- Conduct thorough benefit investigations to confirm patient eligibility for prescribed specialty medications.
- Evaluate authorization requirements for frequently prescribed medications while staying updated on payer formularies and reimbursement policies.
- Assist in the third-party prior authorization process and secure necessary overrides to expedite therapy initiation.
- Ensure accurate insurance data is maintained and monitor prior authorization renewals to prevent interruptions in medication therapy.
- Identify financial assistance opportunities to optimize copay savings and promote adherence to therapy.
- 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 interdepartmental communication and ensure precise documentation in patient electronic charts.
- Support pharmacists with patient engagement activities, whether in-clinic or via telephonic outreach.
- Promote medication adherence by coordinating direct or telephonic patient follow-ups to ensure timely refills.
- Manage patient scheduling for both initial and follow-up appointments.
- Address patient clinical inquiries and third-party insurance denials by referring to the pharmacist for appropriate intervention.

Qualifications:
- High school diploma or equivalent required.

- Current or eligible for pharmacy technician registration (if not already registered, registration requires only an application and fee). National Pharmacy Technician Certification is preferred.
- A minimum of 2 years of pharmacy technician experience is preferred.
- Previous experience with third-party billing, financial counseling, or familiarity with medical terminology and coding is advantageous.
- Experience 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, and we are proud to be an Equal Employment Opportunity employer.