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Specialty Pharmacy Care Coordinator
2 weeks ago
Summary
The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic team to support patient access to high touch, complex medication therapies. Works in collaboration with insurance companies, nursing, social workers, and pharmacy to obtain appropriate authorization for medications including registration with drug specific manufacturer programs when applicable. Performs tasks related to prescription billing including completing benefits investigations, assisting with the prior authorization process, and locating copay assistance options for patients to ensure affordability of specialty medications.Job Description:
Baptist Health is recruiting a Specialty Pharmacy Care Coordinator to join our Neurology team at 1009 New Moody Lane, LaGrange, KY
Complete benefit investigations to verify patient eligibility for prescribed specialty medications.
Assess requirements for authorization of medications most commonly prescribed 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.
Minimum Requirements
High school diploma or equivalent.
Current or eligible for Kentucky pharmacy technician registration (if not already registered with KY Board of Pharmacy, registration requires only an application and fee).
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.
Intermediate knowledge of computer systems and software, including Microsoft Excel and Microsoft Word preferred.
Benefits
Tuition Reimbursement program up to $6,000 annually
40 hours of Paid Time Off available for use upon hire
Company paid Maternity and Paternity Leave
Bereavement Leave (includes pets)
Employee Assistance Program
Retirement plans with company match
Company paid Basic Life Insurance & Long-Term Disability
Health Insurance, Pharmacy, Dental, Vision and much more
Work Experience
Education
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now Baptist Health is an Equal Employment Opportunity employer.