Pharmacy Care Coordinator

4 weeks ago


La Grange, United States Baptist Health Full time
Job Title: Specialty Pharmacy Care Coordinator Job Summary: Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to support our Specialty Pharmacy team in LaGrange, KY. 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 process and obtain appropriate overrides to improve speed to therapy * Maintain accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy * Identify financial assistance options to maximize copay savings and increase therapy adherence * Serve as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide support * Utilize EMR to maintain communication between departments and ensure accurate documentation in patient electronic charts * Support pharmacist 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 appropriate Requirements: * High school diploma or equivalent * Current or eligible for Kentucky pharmacy technician registration * 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 About Baptist Health: Baptist Health is an Equal Employment Opportunity employer.

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