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Pharmacy Care Coordinator Specialist

2 months ago


St Petersburg, United States Empath Health Full time
Pharmacy Care Coordinator Job Summary

We are seeking a highly skilled Pharmacy Care Coordinator to join our team at Empath Health. As a Pharmacy Care Coordinator, you will play a critical role in ensuring the smooth operation of our pharmacy services, working closely with our pharmacy team and other stakeholders to provide exceptional patient care.

Key Responsibilities:
  • Assist pharmacists with daily pharmacy operations, including coordinating 340B pharmacy services and ensuring compliance with all aspects of the 340B pricing program.
  • Manage incoming calls and faxes, handling caller inquiries with a pleasant and friendly demeanor.
  • Complete data entry of patient and prescription information into our pharmacy system.
  • Coordinate patient welcome and refill compliance calls, as well as manage communication with prescribers to resolve issues and provide updates on patient and prescription status.
  • Adjudicate prescription claims to ensure accurate billing and payment for products.
  • Investigate benefits and resolve payer rejections, including prior authorization coordination and appeals.
  • Enroll and coordinate patient financial assistance and support services, such as copay cards and funding assistance programs.
  • Work with patients to synchronize medication dispenses and assist with adherence programs.
  • Coordinate prescriptions for pick up or home delivery, tracking all deliveries and ensuring signature paperwork is filed appropriately.
  • Maintain compliance with company policies and procedures, as well as all laws regulating pharmacy services.
Requirements:
  • High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
  • Florida Pharmacy Technician License.
  • Continuing education: 20 Hours Biennial.
  • Knowledge of Pharmacy Benefit Management (PBM) procedures and processes.
  • Ability to compile and analyze data from various sources.
  • Strong analytical and problem-solving skills.
  • Intermediate Excel and report skills.
  • Excellent communication and organization skills.
  • Good knowledge of medical and pharmaceutical terms and abbreviations.
  • Skill in typing/keyboarding at a minimum of 30 words per minute.
  • Minimum 3-5 years of experience in Retail, Managed care, PBM, Hospital, Home Health Care, or Long Term Care Pharmacy settings desired.

Empath Health values diversity and is committed to creating a workplace that is inclusive and respectful of all employees, volunteers, and patients. We are an equal opportunity employer and welcome applications from diverse candidates.