Specialty Pharmacy Care Coordinator - Neurology

Baptist Health Kentucky • La Grange, KY

86d

About The Position

The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic team to support patient access to high touch, complex medication therapies. Works in collaboration with insurance companies, nursing, social workers, and pharmacy to obtain appropriate authorization for medications including registration with drug specific manufacturer programs when applicable. Performs tasks related to prescription billing including completing benefits investigations, assisting with the prior authorization process, and locating copay assistance options for patients to ensure affordability of specialty medications.

Requirements

• High school diploma or equivalent.
• Current or eligible for Kentucky pharmacy technician registration.
• National Pharmacy Technician Certification preferred.
• 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 and 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.

Benefits

• Tuition Reimbursement program up to $6,000 annually
• 40 hours of Paid Time Off available for use upon hire
• Company paid Maternity and Paternity Leave
• Bereavement Leave (includes pets)
• Employee Assistance Program
• Retirement plans with company match
• Company paid Basic Life Insurance & Long-Term Disability
• Health Insurance, Pharmacy, Dental, Vision and much more!

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED