Pharmacy Account Coordinator Specialist

1 month ago


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

The Specialty Pharmacy Account Coordinator plays a vital role in ensuring seamless patient care by coordinating multiple facets of patient account management, 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.

Key Responsibilities
  • Verify patient insurance and benefits to ensure accurate billing and reimbursement.
  • Manage rejection and denials, resolving issues and ensuring timely resolution.
  • Coordinate with patients, physicians, and insurance companies to resolve billing and reimbursement issues.
  • Monitor insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements, and claims submission requirements.
  • Assist patients in enrolling in assistance programs, such as drug copay cards and/or foundations.
  • Monitor services rendered and bill assistance programs for applicable funds.
Requirements
  • Some college hours in Business, Finance, and/or Accounting related courses preferred.
  • Current State 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) is 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 community that fosters growth and development.

We're an equal opportunity employer and welcome candidates from diverse backgrounds. If you're passionate about delivering exceptional care and making a difference in the lives of others, we encourage you to apply.



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