Drug Coordinator

Retina Consultants of Houston•Houston, TX

20h•Onsite

About The Position

Retina Consultants of Texas (RCTX) is seeking a Drug Coordinator to act as the patient's advocate to ensure that the prescribed drug therapy and pharmacy care plan are followed as prescribed. This role will provide assistance by coordinating resources to those patients in need of copay assistance programs to ensure successful drug therapy outcomes. The Drug Coordinator answers and resolves patient inquiries timely and establishes and maintains strong customer relationships with physicians and patients throughout the entire process. Candidate must be able to support variable hours (Monday - Friday, 8:00 am to 5:30 pm). Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world-renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser, and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience.

Requirements

Computer proficiency in MS Office applications, with Electronic Health Records/Practice Management experience a plus.
Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels.
Ability to manage multiple priorities in a fast paced environment and meet deadlines.
Organized, Detail oriented with good analytical skills.
Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred.
High School diploma or equivalent required
Bachelors Degree preferred
4 to 6 year’s experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement preferred
Health Insurance claims or patient accounting experience a plus

Nice To Haves

Electronic Health Records/Practice Management experience a plus
Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred
Health Insurance claims or patient accounting experience a plus

Responsibilities

Conduct benefit investigations, verify insurance benefits for patient and submit and obtain prior authorizations as required by payer; obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval
Accurately review, obtain, enter and maintain co-pay assistance data as required in client database and patient files and utilize the client database to monitor outstanding items on each patient to ensure tasks are complete in an effort to determine the current status.
Participate in conference calls as needed with Drug Vendor Representatives, drug orders and status of alternative funding.
Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient.
Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Vendor Representatives, and pharmacies.
May serve as single point of contact for an assigned group of prescribers.
Identify and report events as required by the Revenue Cycle Manager requirements for specified medication.
Recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer.
Educate patients, prescribers, and others regarding program requirements, and facilitate referrals.
Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures.