Pharmacy Support Specialist

NewYork-Presbyterian Hospital

8d•$66,300 - $103,000•Onsite

About The Position

Shape the Future of Pharmacy: Pharmacy Support Specialist At New York-Presbyterian, we know that extraordinary careers in pharmacy come from the opportunity to do extraordinary work. That's why we're inviting passionate healthcare workers to explore the innovative careers at New York's largest and busiest hospital. There's no better place to define your expertise while working with a team that's defining national standards. In this role, you will work with a team to obtain prior authorization for both hospitalized and outpatient medication treatment. Expectations include: providing documentation and clinical data required by the patient’s third-party payer; accurately and completely document all information into the electronic medical record (Epic); monitor pharmacy claim data; identify critical reimbursement issues; work with Finance and Billing to resolve issues in an expedient and initiative-taking manner. Participates in training and continued competency activities and performs other job-related duties as assigned.

Requirements

Associate’s degree or equivalent job experience
Demonstrated expertise in logical thinking, data preparation, and analysis
Excellent written and oral communication skills

Nice To Haves

Medical field experience
2+ years of relative professional experience working in a hospital, clinic, physician office, payer business office, case management or social work departments
Proficient in at least (1) hospital electronic medical record systems and Microsoft Office (Outlook, Word, Excel, and Access)
Knowledge of medical terminology
Knowledge of government and commercial payer requirements to ensure accurate and compliant charging and billing of medications.

Responsibilities

Obtain prior authorization for both hospitalized and outpatient medication treatment.
Provide documentation and clinical data required by the patient’s third-party payer.
Accurately and completely document all information into the electronic medical record (Epic).
Monitor pharmacy claim data.
Identify critical reimbursement issues.
Work with Finance and Billing to resolve issues in an expedient and initiative-taking manner.
Participate in training and continued competency activities.
Perform other job-related duties as assigned.