Pharmacy Patient Navigator

EHIM-posted 2 months ago

$19 - $21/Yr

Full-time

Gainesville, GA

101-250 employees

Insurance Carriers and Related Activities

Resume

Match Score

Upload and Match ResumeTrack Jobs with Teal

As a Pharmacy Patient Advocate, you will be a crucial link between patients, medical providers, and our pharmacy. You will make a direct impact by eliminating barriers to medication access, ensuring patients receive their specialty medications in a timely and affordable manner. If you are a problem-solver with a background in pharmacy services and a desire to provide an exceptional patient experience, we encourage you to apply!

Serve as a Patient Liaison: Act as the central point of contact between patients, physician offices, manufacturer programs, and insurance payers to resolve medication access issues.
Navigate Benefits & Authorizations: Conduct comprehensive benefit investigations, manage prior authorizations, and coordinate benefits to minimize patient out-of-pocket costs.
Manage Patient Communications: Handle inbound calls for prescription inquiries and outbound calls for patient welcome, refill scheduling, and provider follow-ups.
Ensure Seamless Coordination: Coordinate timely and accurate medication deliveries with patients and providers, ensuring adherence to treatment plans.
Maintain Accurate Records: Collect and maintain confidential patient information, including allergies, contact details, and payment methods, while upholding all HIPAA regulations.
Support Clinical Integrity: Direct all clinical inquiries and patient concerns to a licensed pharmacist to ensure patient safety and proper care.
Utilize Technology: Leverage pharmacy operating systems and other software tools to manage patient cases, track communications, and ensure efficient service delivery.

High school diploma or GED.
Active Florida Pharmacy Technician Registration required.
A minimum of two (2) years of experience in a customer service setting OR one (1) year of experience in specialty pharmacy.
Prior authorization experience required.
Strong knowledge of medical and pharmacy terminology.
Excellent communication skills.
Basic computation skills.
Microsoft Office or Google Suite proficiency.

Benefit investigation experience preferred.
Bilingual - English and Spanish preferred.
RMA or CMA certified preferred, but not required.

Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
Paid vacation and holiday pay.
Employee Wellness Program.
401(k) with a company match.
Employee Assistance Program provides confidential support and counseling.
Employee referral program.

Track Jobs with Teal

Job Search Resources

•

Resume Builder

•

Resume Examples

•

Cover Letter Examples

Pharmacy Patient Navigator

Job Search Resources

Tools

Career Hubs

Guides

Company