Patient Services Liaison

CencoraDallas, TX
Hybrid

About The Position

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. We are looking to grow our team with Patient Access and Affordability within Methodist Health System. The ideal candidate embodies the following: Hard working, Team Player, Adaptable/Flexible, and has an Agile mind for learning. Knowledge of Benefits Investigations, Prior Authorizations, Denials, and Appeals on the Pharmacy side is required, with Medical side knowledge being preferred. This role has the potential to move into medical billing for drug products, and any knowledge of this is a bonus. This position is Onsite at Methodist Dallas Medical Center, with hours from Monday through Friday 9am to 5pm, and is closed on Major Holidays and Weekends.

Requirements

  • Hard working
  • Team Player
  • Adaptable/Flexible
  • Agile mind for learning
  • Benefits Investigations, Prior Authorizations, Denials, and Appeals Knowledge (Pharmacy side required)
  • Retail pharmacy technician experience 1-3 years
  • Active pharmacy technician licensure / certification in the corresponding state
  • Experience working with prior authorizations and copay assistance programs
  • Proficiency in Microsoft Office particularly Word and Excel
  • Ability to quickly learn other systems and programs (pharmacy dispensing software, electronic health records, etc.)
  • High level of organization and high quality communication skills

Nice To Haves

  • Benefits Investigations, Prior Authorizations, Denials, and Appeals Knowledge (Medical side preferred)
  • Knowledge of medical billing for drug products
  • Lead tech or other leadership experience

Responsibilities

  • Provide liaison services for patients requiring high-cost retail prescription therapies, focused on navigation of prescription related access and affordability barriers.
  • Effectively processing prior authorizations, identifying and securing patient assistance and routing prescriptions to the appropriate pharmacy.
  • Coordinating the communication between patients, providers, staff, pharmacy and payers.
  • Provide subject matter expertise in retail pharmacy prescription access and processing.
  • Routinely interfacing with office staff, providers and leadership to proactively identify an address areas for process improvement to drive improved patient access and prescription internalization.
  • For the assigned clinic(s) serve as the primary contact for high cost prescription access and affordability.
  • Responsible for maintaining effective and complete communication to stakeholders and appropriate documentation within electronic health records, pharmacy dispensing systems and other systems as specified.
  • Responsible for providing education to providers, clinic staff and patients on the value of prescription fulfillment through the client health system pharmacy.
  • Providing world class customer service and timely execution of assigned tasks to drive trust and satisfaction with patients and providers.
  • Works with the internal client pharmacy to facilitate and coordinate delivery of the prescriptions to patients.
  • Actively contributes to activity tracking and KPI reporting to enable continuous quality improvement and program performance assessment.
  • Participates in client and clinic meetings, contributing content and leading discussions relating to prescription access as needed.
  • Support the clinic during operating hours and work extended hours when needed to ensure patients receive their medication and to complete business plan objectives.
  • Provide backup coverage to support clients and patients in the event of absence of other assigned resources.
  • Work both in clinic (or multiple clinics as assigned) and support from an approved remote location as the client needs dictate.
  • Demonstrate the ability to provide a high level of support from both settings.
  • Perform other related duties as assigned.

Benefits

  • Compensation
  • Benefits
  • Resources that enable a highly inclusive culture
  • Support for team members’ ability to live with purpose every day
  • Medical care
  • Dental care
  • Vision care
  • Comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
  • Variety of training programs
  • Professional development resources
  • Opportunities to participate in mentorship programs
  • Employee resource groups
  • Volunteer activities
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