Specialty Pharmacy Care Specialist

2 weeks 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 healthcare team.

Key Responsibilities:
- Conduct benefit investigations to confirm patient eligibility for specialty medications.
- Evaluate authorization requirements for frequently prescribed medications and stay updated on payer formularies and reimbursement processes.
- Assist with the third-party prior authorization process and secure necessary overrides to expedite therapy initiation.
- Ensure accurate insurance details are maintained and monitor prior authorization renewals to prevent interruptions in medication therapy.
- Identify financial assistance programs to optimize copay savings and improve therapy adherence.
- 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 communication across departments and ensure precise documentation in patient records.
- Support pharmacists with patient engagement activities, whether in-clinic or via telephone.
- Promote medication adherence by coordinating direct or telephonic outreach to patients for timely refills.
- Organize patient appointments for initial consultations and follow-up visits.
- Address patient clinical inquiries and third-party insurance denials by referring them 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.

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