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Pharmacy Services Coordinator

2 months ago


Irving, Texas, United States Christus Health Full time

Overview:

The Pharmacy Services Representative (PSR) operates under the guidance of Clinical Pharmacists to deliver pharmacy services with empathy, quality, and efficiency. The PSR plays a crucial role in managing orders received at CHRISTUS Specialty Pharmacy and acts as a vital link between patients, healthcare plans, providers, and the pharmacy.

Key Responsibilities:


• Adheres to the OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

• Must be at least 18 years of age.

• Conducts data entry and verifies patient benefit eligibility.

• Completes prior authorization requests, submits them to insurance, and confirms their completion.

• Coordinates appeals processes.

• Serves as a liaison between patients and insurance providers, facilitating communication among patients, healthcare professionals, and administrative staff.

• Addresses patient inquiries regarding billing, procedures, policies, and available services.

• Manages incoming and outgoing calls from customers concerning medication delivery, setup, and related services.

• Coordinates financial arrangements and collects co-payments.

• Operates in strict compliance with established policies and procedures.

• Ensures safe, appropriate, and cost-effective medication therapies for patients according to established guidelines.

• Accurately reads, extracts, and interprets information from patient medical records.

• Identifies and reports suspected adverse drug reactions promptly and accurately.

• Facilitates pharmacist-led medication education for patients and their families as per institutional protocols.

• Engages in quality improvement initiatives within the department.

• Contributes to the effective and quality operation of the department.

• Demonstrates punctuality and reliability; adheres to scheduled work hours. Attendance and tardiness are managed within policy guidelines.

• Maintains a professional and well-groomed appearance, including wearing an identification badge.

• Completes tasks within designated timeframes and adapts positively to frequent interruptions and changes in workload or schedule.

• Provides courteous, cooperative, and timely service to patients, visitors, and staff.

• Exhibits strong verbal and written communication skills.

• Collaborates effectively with hospital and pharmacy personnel, voicing concerns and suggestions constructively to foster a team-oriented environment.

• Demonstrates sound professional judgment consistent with clinical and academic background.

• Maintains strict confidentiality regarding patient, guest, and employee information.

• Complies with all risk management, safety, security, fire, and infection control protocols.

• Adheres to hospital and departmental policies and procedures, complying with all applicable federal and state laws, rules, and regulations.

• Works independently with minimal supervision, organizing and prioritizing work assignments.

• Ensures timely provision of pharmacy services.

• Answers telephone calls, identifying self and department, and directs calls to appropriate personnel.

Qualifications:

  • High School diploma or equivalent required.
  • Minimum of 2 years of experience in a community pharmacy or health plan.
  • Experience in third-party billing and benefits investigation is required.
  • Specialty pharmacy experience is preferred.
  • Familiarity with QS1 billing software, EPIC EMR, and CoverMyMeds is preferred.
  • Registered pharmacy technician in the state of practice is required.
  • Certification as a pharmacy technician is preferred.

Employment Type:

Full Time

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