Specialty Pharmacy Team Member

2 days ago


New Albany, Indiana, United States Baptist Health Full time

Job Summary:

Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to support our Specialty Pharmacy team. As a key member of our team, you will play a vital role in ensuring seamless patient care and medication management.

Key Responsibilities:

  • Conduct thorough benefit investigations to verify patient eligibility for prescribed specialty medications.
  • Assess requirements for authorization of medications and maintain current knowledge of payer formularies and reimbursement.
  • Support third-party prior authorization processes and obtain necessary overrides to expedite therapy.
  • Maintain 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 healthcare professionals, including physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers, to provide comprehensive support.
  • Utilize electronic medical records (EMR) to maintain communication between departments and ensure accurate documentation in patient 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 pharmacists for intervention as needed.

Requirements:

  • 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 of pharmacy technician experience preferred.
  • 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.


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