Specialty Pharmacy Representative
4 days ago
At Jefferson Health, we are committed to providing exceptional care to our patients. We are seeking a highly skilled and dedicated Specialty Pharmacy Representative to join our team at our King of Prussia office.
Responsibilities:- Assist patients, physicians, and pharmacists in completing benefit investigations, prior authorizations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients.
- Enter patient information into our therapy-specific patient assessment software.
- Initiate, complete, and follow up on the status of prior authorizations or appeals submitted to insurance carriers.
- Assist with the filling and distribution of prescriptions under the direction of a patient care pharmacist.
- High School Diploma or GED equivalent.
- AS/BS degree preferred; Certified Pharmacy Technician (CPhT) preferred.
- 3+ years experience in customer service role.
- Prior authorization experience, prescription claims adjudication experience, and financial assistance experience.
- 1+ years experience in a specialty pharmacy, hospital, health insurance company, benefits department, or other related healthcare environment.
- Knowledge of clinical software systems, specialty medications, and Medicare billing.
- Ability to communicate professionally and effectively in both written and verbal format with patients, physicians, payors, and clinical staff.
- Flexibility to adapt to changes in the departmental needs.
Jefferson Health is a dynamic university and health system with broad reach across the Delaware Valley. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine, and social science.
We are committed to providing equal access to employment and value diversity and inclusion. We encourage applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.
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