Specialty Pharmacy Liaison

AdventHealth•Orlando, FL

4d•Onsite

About The Position

The Specialty Pharmacy Liaison helps improve patient outcomes by supporting medication processing, filling, and delivery. The role leads and manages referrals, verifies patient demographics and medication coverage, initiates prior authorizations, and coordinates patient assistance, appeals, peer reviews, and co-pay assistance. It also communicates with specialty patients and referral sources; develops and presents clinical-services content to provider offices; and reports metrics on prior authorization and patient-funding success rates. The liaison monitors medication adherence and intervenes as needed, maintains accurate patient records, and participates in quality improvement initiatives. Additional duties include accurately and efficiently dispensing medications, reviewing prescriptions for accuracy and completeness, managing inventory to maintain adequate stock and regulatory compliance, and using patient assistance programs to support eligible patients. Other duties may be assigned. This is a full-time, 40-hour-per-week position at 601 E Rollins St, Orlando, Florida. The schedule is Monday through Friday, 8 a.m. to 8 p.m., with possible weekends; scheduling is flexible. The pay range is $21.17–$39.38.

Requirements

Associate degree required, or a high school diploma and 5+ years of experience may be considered as an equivalent combination of education and relevant work experience.
Registered Pharmacy Technician (RPhT) certification required.
Certified Pharmacy Technician (CPhT) certification required.
Proficiency with prescription-filling software and other computer skills.
Proficiency in processing third-party claims and secondary billing.
Knowledge of Part B and Part D Medicare billing.
Knowledge of major prescription insurance carrier reimbursement guidelines and third-party payer coverage eligibility.
Knowledge of medical terminology and mathematical principles used for pharmaceutical calculations.

Nice To Haves

5+ years working in a retail pharmacy or equivalent environment.
Previous experience in a managed healthcare organization, medical insurance company, pharmacy benefit management, or another healthcare-related entity.
Prior experience facilitating prior authorizations, patient assistance, and co-pay assistance.
Prior experience processing and filling prescriptions for specialty patients.

Responsibilities

Assist with processing, filling, and delivery of medications to improve patient outcomes.
Lead and manage referrals.
Verify patient demographics and medication coverage.
Initiate prior authorization requests.
Facilitate patient assistance, appeals, peer reviews, and co-pay assistance.
Communicate with specialty patients and referral sources.
Develop content and present clinical services to provider offices.
Provide metrics related to prior authorization and patient-funding success rates.
Monitor patient medication adherence and provide interventions as needed.
Maintain accurate and up-to-date patient records and documentation.
Participate in quality improvement initiatives to enhance pharmacy services.
Dispense medications accurately and efficiently.
Review and verify prescriptions for accuracy and completeness.
Manage inventory to ensure adequate stock levels and regulatory compliance.
Use patient assistance programs to provide financial aid to eligible patients.
Perform other duties as assigned.