Pharmacy Account Coordinator

4 days ago


Maryland Heights, Missouri, United States Mercy Full time
Overview

The Specialty Pharmacy Account Coordinator plays a vital role in ensuring seamless patient care by managing multiple facets of patient account coordination, including insurance/benefit verification, rejection and denials management, and collections.

This position requires a thorough understanding of available programs, funding guidelines, claims procedures, and insurance company regulations, as well as oncology coding and billing.

The Specialty Pharmacy Account Coordinator serves as a resource for other staff and patients, providing accurate and timely information to ensure efficient patient care.

Responsibilities
  • Verify patient insurance and benefits to ensure accurate billing and reimbursement
  • Manage rejection and denials, working with patients and insurance companies to resolve issues
  • Coordinate with patients to enroll in assistance programs, such as drug copay cards and foundations
  • Monitor insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements, and claims submission requirements
  • Perform duties in a manner consistent with Mercy Service Standards
Requirements
  • Some college hours in Business, Finance, and/or Accounting related courses preferred
  • Current Missouri Pharmacy Technician license in good standing
  • A minimum of 3 years related experience required, including 1 year of relevant pharmacy experience
  • Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB) required within six months from start
What We Offer

At Mercy, we offer a comprehensive benefits package, including day-one comprehensive health, vision, and dental coverage, PTO, tuition reimbursement, and employer-matched retirement funds.

We're committed to providing a supportive work environment that fosters growth and development, and we're excited to have you join our team



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