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Specialty Pharmacy Care Specialist

2 months ago

Elizabethtown, Kentucky, United States Baptist Health Full time
Position Overview:

Baptist Health is seeking a Specialty Pharmacy Care Coordinator to enhance our Cardiology services.
  • Conduct benefit assessments to confirm patient eligibility for specialty medications prescribed.
  • Evaluate authorization prerequisites for frequently prescribed medications and stay updated on payer formularies and reimbursement processes.
  • Assist in the third-party prior authorization process and secure necessary overrides to expedite therapy initiation.
  • Ensure accurate insurance details are maintained and monitor prior authorization renewals to prevent interruptions in medication therapy.
  • Explore financial assistance options to optimize copay savings and promote adherence to therapy.
  • Act as a communication bridge among physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide comprehensive support.
  • Utilize electronic medical records (EMR) to facilitate interdepartmental communication and ensure precise documentation in patient electronic files.
  • Support pharmacists with patient-related activities, whether in-clinic or via telecommunication.
  • Encourage medication adherence by coordinating outreach to patients for timely refill reminders.
  • Manage patient scheduling for both initial and follow-up consultations.
  • Direct patient clinical inquiries and third-party insurance denials to the pharmacist for appropriate intervention.
Essential Qualifications:
  • High school diploma or equivalent.
  • Current or eligible for pharmacy technician registration.
  • National Pharmacy Technician Certification is preferred.
  • Minimum of 2 years of pharmacy technician experience is preferred.
  • Experience in third-party billing, financial counseling, or familiarity with medical terminology and coding is preferred.
  • Experience with electronic medical records systems is preferred.
  • Proficient knowledge of computer systems and software, including Microsoft Excel and Word, is preferred.
Baptist Health is committed to fostering a diverse and inclusive workplace.