Specialty Pharmacy Account Coordinator

4 weeks ago


Maryland Heights, Missouri, United States Mercy Full time
Job Summary

We're seeking a highly skilled and detail-oriented Pharmacy Account Coordinator to join our team at Mercy. As a Pharmacy Account Coordinator, you will play a critical role in ensuring the smooth operation of our pharmacy services, including insurance/benefit verification, rejection and denials management, and collections.

Key Responsibilities
  • Verify patient insurance benefits and manage rejection and denials
  • Assist patients in enrolling in assistance programs, such as drug copay cards and foundations
  • Monitor services rendered and bill assistance programs for applicable funds
  • Stay up-to-date on insurance company regulations and changes in pre-certification, documentation, medical necessity criteria, policy requirements, and claims submission requirements
  • Communicate effectively with physicians, staff, patients, and insurance companies
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 and collaborative work environment that allows our team members to grow and thrive.

We're a Little Different

Our mission is clear: we bring to life a healing ministry through our compassionate care and exceptional service. We believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."



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