Drug Coordinator

Retina Consultants of Houston•Houston, TX

About The Position

Retina Consultants of Texas (RCTX) is seeking a Drug Coordinator to advocate for patients by helping ensure prescribed drug therapy and pharmacy care plans are followed. The role coordinates resources for patients who need copay assistance to support successful therapy outcomes, resolves patient inquiries in a timely manner, and builds strong relationships with physicians and patients throughout the process. The position supports variable hours Monday through Friday, between 8:00 a.m. and 5:30 p.m. RCTX is a retina-only ophthalmology practice with 26 physicians and 25 locations. The organization emphasizes Hard Work, Authentic Care, and Innovation, and describes its culture as Retina Warriors. The listed pay rate is $20.00 or more per hour, and the position is eligible for overtime. Benefits for eligible full-time employees begin after a 60-day introductory period, with certain benefits available from the date of hire.

Requirements

High school diploma or equivalent.
Four to six years of experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement experience preferred.
Computer proficiency in Microsoft Office applications.
Excellent written and verbal communication skills, with the ability to communicate with people at all levels.
Ability to manage multiple priorities in a fast-paced environment and meet deadlines.
Organized and detail-oriented, with good analytical skills.
Able to sit for prolonged periods while working at a desk and on a computer.
Able to lift up to 15 pounds at times.

Nice To Haves

Bachelor’s degree preferred.
Electronic Health Records or Practice Management experience is a plus.
Knowledge of third-party billing, coding, medical terminology, prior authorizations, and appeals preferred.
Health insurance claims or patient accounting experience is a plus.

Responsibilities

Conduct benefit investigations, verify patients’ insurance benefits, and submit and obtain prior authorizations as required by payers; obtain recertifications when treatment or coverage extends beyond the original approval.
Review, obtain, enter, and maintain copay assistance data in the client database and patient files; monitor outstanding patient items and task completion to determine current status.
Participate in conference calls as needed with drug vendor representatives regarding drug orders and alternative funding status.
Coordinate product orders and shipments and therapy initiation with pharmacies and patients.
Participate in call center activities and triage and respond to incoming calls from patients, insurance companies, physicians, vendor representatives, and pharmacies.
Serve, as needed, as the single point of contact for an assigned group of prescribers.
Identify and report events according to Revenue Cycle Manager requirements for specified medications.
Recognize adverse events, product quality complaints, and potential risk events, and forward information to the appropriate team member for manufacturer reporting.
Educate patients, prescribers, and others about program requirements and facilitate referrals.
Maintain good housekeeping practices, adhere to quality and production standards, and comply with applicable company, state, and federal safety and environmental programs and procedures.

Benefits

Medical, dental, and vision benefits, listed as employee-paid.
Short-term disability, voluntary life insurance, accident insurance, critical illness insurance, hospital indemnity, and pet insurance, listed as employee-paid.
HSA pre-tax contributions and employer HSA contributions.
401(k) retirement savings contributions with Roth and Traditional options, and a 3% employer safe harbor contribution.
Long-term disability and a $25,000 basic life insurance policy, listed as employer-paid.
Annual performance merit increases.
Certification opportunities.
Rewards and recognition platform.
WellHub Starter Plan gym membership.
Paid time off.
Eight paid holidays and one floating holiday annually.
Eligible for overtime.