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Specialty Pharmacy Care Liaison

2 months ago


La Grange, Kentucky, United States Baptist Health Full time
Job Overview:

Baptist Health is seeking a Specialty Pharmacy Care Liaison to become a vital part of our Central Pharmacy team.

The Specialty Pharmacy Care Liaison serves as an integral member of the outpatient clinic team, facilitating patient access to specialized, high-touch medication therapies.

Key Responsibilities:
  • Conduct benefit investigations to confirm patient eligibility for prescribed specialty medications.
  • Evaluate authorization requirements for commonly prescribed medications and stay informed about payer formularies and reimbursement processes.
  • Assist with the third-party prior authorization process and secure necessary overrides to expedite therapy initiation.
  • Ensure accurate insurance data is maintained and monitor prior authorization renewals to prevent interruptions in medication therapy.
  • Identify financial assistance opportunities to optimize copay savings and enhance therapy adherence.
  • Act as a liaison among physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide comprehensive support.
  • Utilize electronic medical records (EMR) to foster communication across departments and ensure precise documentation in patient electronic charts.
  • Support pharmacists with patient interactions, whether in-clinic or via telephone.
  • Promote medication adherence by coordinating direct or telephonic outreach to patients for timely refills.
  • Manage patient scheduling for initial consultations and follow-up appointments.
  • Address patient clinical inquiries and third-party insurance denials, directing them to the pharmacist for necessary intervention.
Qualifications:
  • High school diploma or equivalent.
  • Current or eligible for pharmacy technician registration in Kentucky.
  • National Pharmacy Technician Certification is preferred.
  • A minimum of 2 years of experience as a pharmacy technician is preferred.
  • Experience with third-party billing, financial counseling, or medical terminology and coding is preferred.
  • Familiarity with Epic EMR is preferred.
  • Completion of 340B University or Apexus certification within six months of employment is required.
Baptist Health is committed to fostering a diverse and inclusive workplace.

Baptist Health is an Equal Employment Opportunity employer.