340B Coordinator

Central Florida Health Care • Winter Haven, FL

4d

About The Position

This position assists the medical and pharmacy departments in facilitating the prescription prior authorization process from beginning to end.

Requirements

• High School Diploma or GED
• Florida Board of Pharmacy Registration
• Active BLS
• Minimum of six months of pharmacy technician experience
• Basic Math skills
• Computer literacy
• Customer service experience
• Strong verbal and written communication skills
• Experience using an Electronic Health Record, Athena preferred
• Knowledge of ICD 10 Codes

Nice To Haves

• Active Pharmacy Technician Licensure (National) preferred

Responsibilities

• Be familiar with CFHC’s program philosophies, goals, and objectives.
• Be cognizant of and comply with all CFHC’s policies and procedures, as well as state and federal regulations.
• Understand the requirements of CFHC’s Exposure Control Plan.
• Assure compliance with this plan by support staff assigned to assist you.
• Adheres to CFHC quality policies and participates actively in quality improvement process activities.
• Follows safety and OSHA requirements.
• Ability to initiate prior authorizations through CoverMyMeds
• Ability to evaluate information from both oral and written sources, pharmaceutical references, and report information to patients and medical team members
• Apply clinical knowledge when assessing and responding with alternatives to denied pharmacy prior authorizations
• Collaborate with other departments to assist in obtaining prior authorizations
• Conduct denial reviews to provide recommendations for providers and support appeals submission if requested
• Document all prior authorization information within the patients record
• Facilitate medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
• Follow-up on all pending prior authorizations
• Identify insurance treatment requirements and review the patient medical record to assure the requirements are met for prior authorization approval
• Manage correspondence with insurance companies, physicians, pharmacies and patients as required
• Obtain approval/denial letters
• Ability to sit for long periods of time, making continuous calls for the majority of all shifts
• Ability to problem solve, multi-task, and prioritize work
• Maintain patient confidentiality per HIPPA guidelines
• May need to serve as a pharmacy technician in the pharmacy to assist with, but not limited to the following tasks: Mix pharmaceutical preparations, fill bottles with prescribed tablets, and type labels for bottles.
• Receives and stores incoming supplies.
• Cleans equipment and glassware according to prescribed methods.
• Files invoices and hard copy prescriptions.
• Assist in the preparation of third-party billing.
• Participate in drug review and drug product selection.
• Maintain proper and safe drug storage and maintain accurate inventory and sales records.
• Treat patients, staff, and visitors with courtesy, sensitivity, and respect
• Report as needed to Pharmacy Director any pertinent information or situations that impact on patient care or CFHC liability.
• Attend and participate in mandatory CFHC meetings (Center Specific quarterly meetings, Corporate meetings, and other meetings as designated by the CMO or CEO).
• Make recommendations to the Director of Pharmacy regarding the purchase of pharmacy supplies, instruments, and equipment, and repair and/or maintenance of these.
• Enhances professional growth and development by attending in-service meetings and continuing education programs.
• Maintain neat and professional appearance at all times.
• Carry out any other activities deemed appropriate by the Director of Pharmacy, CMO or CEO.

Benefits

• Competitive Salary
• Federal Student Loan Forgiveness: PSLF – 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
• Excellent medical, dental, vision, and pharmacy benefits
• Employer Paid Long-Term Disability Insurance
• Employer Paid Life Insurance equivalent to 1x your annual salary
• Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
• Malpractice Insurance
• Paid Time Off (PTO) – 4.4 weeks per year pro-rated
• Holidays (9.5 paid holidays per year)
• Paid Birthday Holiday
• CME Reimbursement
• 401k Retirement Plan after 1 year of service (w/matching contributions)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED