Shared Services Care Coordinator

House Rx

1d•Remote

About The Position

Join House Rx as a Shared Services Care Coordinator, where you will play a pivotal role in enhancing access and affordability of specialty medications for patients. You’ll collaborate closely with specialty care clinics and our team to optimize the specialty pharmacy experience.

Requirements

You are someone who loves to dig in and can think outside the box
You are a creative problem solver interested in positively impacting each patient’s pharmacy experience
Self-motivated with sense of urgency for quality resolution
You have mastered all the core pharmacy technician skills, such as processing claims and dispensing medications, and are ready to expand your career
You are comfortable engaging with patients, providers, and all members of the care team both in-person and over the phone
You have experience navigating specialty medication benefits investigation, prior authorization, and financial assistance
You are excited about working in a start-up environment and enjoy solving complex problems
You are someone who looks for proactive solutions and can identify more efficient workflows.

Responsibilities

Ensure our clinic partners maintain adequate inventory & supplies to meet the needs of their patients
Work with clinic teams to streamline processes and workflows in coordination with clinical operations team
Manage any issues with patient prescription attainment, including tracking packages, troubleshooting carrier issues, and monitoring work queues as assigned.
Troubleshoot issues with claim processing, payment processing, equipment function (barcode scanners, label printers) and escalate to internal resources as appropriate
Triage support issues related to our PMS Platform for new and existing clinic partners
Act as a liaison between the patient, provider and our operational team to effectively and efficiently resolve issues. Problems happen, you are responsible for delighting as you solve them.
Primary responsibility in at least one of the following areas and cross-training in at least one additional area: PBM audits - support our clinic partners to reduce risk of payor take backs by completing payor desktop audits
Claims reconciliation - support our clinic partners and invoicing process through timely reconciliation of claims, identify and address missing remits and payments, and provide weekly insight to program managers
Credentialing - work closely with clinic partners at new and established practices to complete initial credentialing with PBMs, credentialing renewals, state regulatory agency registration (where required), and manage enrollment in EFT and ERA
Legal model - work closely with sales, program managers, and clinic partners to provide an accurate summary of state specific legal requirements for MID dispensing space, provider verification registration and requirements, practice dispensing registration and requirements, and pharmacy dispensing space requirements.
Accreditation - work closely with clinic partners to support initial and renewal accreditation with ACHC, URAC, and others. Support required program monitoring and auditing to maintain compliance with accreditation
Project management - implementation project management through leading customer calls, timely follow up, use of project management tools. Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers.
Drug ordering - support clinic partners through submission of wholesaler orders, monitor delivery, troubleshoot shortages and wholesaler catalog errors. Work closely with clinics to manage accurate inventory through training, monitoring and ongoing process improvements. Work closely with distribution leaders to manage customer-specific wholesaler account matrix to optimize customer spend.
Supply management - ensure clinic partners maintain adequate inventory, optimizing supply chain efficiency while reducing costs.
Implementation IT workstream - work closely with implementation project manager to facilitate clinic partner IT workstream initiation, testing of EHR functionality (login, task groups, reporting, test eRx), and other IT related tasks (phone extension set up, VPN access, etc.)