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Specialty Pharmacy Team Member

2 months ago

Elizabethtown, Kentucky, United States Baptist Health Full time
Job Summary

We are seeking a highly skilled Pharmacy Care Coordinator to join our Cardiology team at Baptist Health. The successful candidate will be responsible for providing exceptional patient care and support in a fast-paced clinical environment.

Key Responsibilities
  • Benefit Investigations: Conduct thorough benefit investigations to verify patient eligibility for prescribed specialty medications.
  • Authorization Support: Assess requirements for authorization of medications and maintain current knowledge of payer formularies and reimbursement.
  • Prior Authorization Process: Support third-party prior authorization process and obtain appropriate overrides to improve speed to therapy.
  • Insurance Management: Maintain accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy.
  • Financial Assistance: Identify financial assistance options to maximize copay savings and increase therapy adherence.
  • Liaison Services: Serve as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide support.
  • EMR Management: Utilize EMR to maintain communication between departments and ensure accurate documentation in patient electronic charts.
  • Pharmacist Support: Support pharmacist with in-clinic or telephonic patient activities.
  • Adherence Support: Facilitate adherence to medications by coordinating face-to-face or telephonic patient outreach to ensure timely refills.
  • Patient Scheduling: Coordinate patient scheduling for initial and follow-up appointments.
  • Clinical Question Triage: Triage patient clinical questions and third-party insurance denials to the pharmacist for intervention as appropriate.
Requirements
  • Education: High school diploma or equivalent.
  • Certification: Current or eligible for Kentucky pharmacy technician registration (if not already registered with KY Board of Pharmacy, registration requires only an application and fee).
  • Experience: 2+ years pharmacy technician experience preferred.
  • Skills: Prior experience with third-party billing, financial counseling, or medical terminology and coding preferred. Prior experience with Epic EMR preferred. Intermediate knowledge of computer systems and software, including Microsoft Excel and Microsoft Word preferred.