Home Care Pharmacy Care Coordinator
4 weeks ago
There’s home care and then there’s BayCare HomeCare At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. BayCare is currently in search of our newest Home Care Pharmacy Care Coordinator who is passionate about providing outstanding customer service to our community Position details: Facility: BayCare HomeCare Location: Largo, FL Status: PRN (as needed), hourly Shift Hours: 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PM Weekend Work: Occasional On Call: No Pharmacy Care Coordinator responsibilities include: Process new referrals Verify all necessary information is included in the referral, entering new referrals and updates all existing patient information (insurance information, patient demographics benefit information) into the corporate IS systems Verify all referrals meet all regulatory, payer, and safety requirements Create pharmacy packets Communicate information to the referral source and patient and/or caregiver on all deliveries to confirm address, patient responsibilities for co-payment and co-insurance Verify insurance and benefits for all Medicare, Managed Care, and Private Fee for Service Plans Utilize the correct payer and diagnoses codes Understand medical criteria for securing all required information from the referral source Enter the appropriate financial information including benefits, deductibles, co-pays, coinsurance, out of pocket into the EHR Timely request and communication of authorizations to payer and documentation in EHR Advise the patient and referral source on Medicare and Managed Care guidelines and reimbursement issues as needed, performs ICD-10 coding of referrals Timely response to referral sources, providers, and leadership is essential Monitors and communicates referral source activity acting as one point of contact for referral sources, home health, and home infusion Other duties as assigned Requirements: High School or Equivalent 1 year infusion related experience 1 year insurance verification experience 1 year pharmacy experience Computer proficiency in Microsoft Office and Excel is preferred BayCare offers a competitive total reward package that may include health, dental, vision, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, and community discounts. CMS Requirements Apply Equal Opportunity Employer Veterans/Disabled Position Home Care Pharmacy Care Coordinator Location US:Florida:Largo:HomeCare Largo | Clinical | PRN Req ID null
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