Specialty Pharmacy Care Coordinator II (Neurology)

Baptist Healthcare System•Lexington, KY

8d•Onsite

About The Position

Baptist Health is recruiting a Specialty Pharmacy Care Coordinator II to join our Neurology team at 610 East Brannon Road, Nicholasville, KY! This role involves completing benefit investigations to verify patient eligibility for prescribed specialty medications, assessing authorization requirements for commonly prescribed medications, and maintaining current knowledge of payer formularies and reimbursement. The coordinator will support the third-party prior authorization process, obtain necessary overrides to improve speed to therapy, and maintain accurate insurance information. They will also monitor for prior authorization renewal needs to prevent gaps in medication therapy and identify financial assistance options to maximize copay savings and increase therapy adherence. This position serves as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers, utilizing EMR for interdepartmental communication and accurate patient chart documentation. The role supports pharmacists with in-clinic or telephonic patient activities, facilitates medication adherence through patient outreach for timely refills, and coordinates patient scheduling for appointments. Additionally, the coordinator will triage patient clinical questions and third-party insurance denials to the pharmacist for intervention as appropriate.

Requirements

High school diploma or equivalent.
Current or eligible for Kentucky pharmacy technician registration (if not already registered with KY Board of Pharmacy, registration requires only an application and fee).
National Pharmacy Technician Certification required.

Nice To Haves

2+ years pharmacy technician experience preferred.
Prior experience with third party billing, financial counseling, or medical terminology and coding preferred.
Prior experience with Epic EMR preferred.
Intermediate knowledge of computer systems and software, including Microsoft Excel and Microsoft Word preferred.

Responsibilities

Complete benefit investigations to verify patient eligibility for prescribed specialty medications.
Assess requirements for authorization of medications most commonly prescribed.
Maintain current knowledge of payer formularies and reimbursement.
Support third party prior authorization process and obtain appropriate overrides to improve speed to therapy.
Maintain accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy.
Identify financial assistance options to maximize copay savings and increase therapy adherence.
Serve as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide support.
Utilize EMR to maintain communication between departments and ensure accurate documentation in patient electronic charts.
Support pharmacist with in-clinic or telephonic patient activities.
Facilitate adherence to medications by coordinating face to face or telephonic patient outreach to ensure timely refills.
Coordinate patient scheduling for initial and follow up appointments.
Triage patient clinical questions and third-party insurance denials to the pharmacist for intervention as appropriate.