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Pharmacy Care Coordinator
2 months ago
Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to join our team at the Central Pharmacy in LaGrange, KY.
The Specialty Pharmacy Care Coordinator plays a critical role in supporting patient access to high-touch, complex medication therapies by acting as an extension of the ambulatory clinic team.
Duties and Responsibilities:- Conduct thorough benefit investigations to verify patient eligibility for prescribed specialty medications.
- Maintain current knowledge of payer formularies and reimbursement to ensure seamless authorization processes.
- Support third-party prior authorization processes and obtain necessary overrides to expedite therapy initiation.
- Ensure accurate insurance information and monitor for prior authorization renewal needs to prevent gaps in medication therapy.
- Identify financial assistance options to maximize copay savings and enhance therapy adherence.
- Collaborate with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide comprehensive support.
- Utilize the Electronic Medical Record (EMR) to maintain communication between departments and ensure accurate documentation in patient electronic charts.
- Support pharmacists with in-clinic or telephonic patient activities.
- Facilitate adherence to medications by coordinating face-to-face or telephonic patient outreach to ensure timely refills.
- Coordinate patient scheduling for initial and follow-up appointments.
- Triage patient clinical questions and third-party insurance denials to the pharmacist for intervention as necessary.
- High school diploma or equivalent
- Current or eligible for Kentucky pharmacy technician registration (if not already registered with the KY Board of Pharmacy, registration requires only an application and fee)
- National Pharmacy Technician Certification preferred
- 2+ years pharmacy technician experience preferred
- Prior experience with third-party billing, financial counseling, or medical terminology and coding preferred
- Prior experience with Epic EMR preferred
- Completion of 340B University or Apexus certification within 6 months of hire
Baptist Health is an Equal Employment Opportunity employer.
