Specialty Pharmacy Liaison - Mason Service Center
About The Position
The Specialty Pharmacy Liaison supports standardization and optimization of specialty pharmacy services across Bon Secours Mercy Health. The role helps ensure specialty and other pharmacy-supported medications are processed accurately and issues are resolved, while providing patients and provider offices with a high level of service. Responsibilities include customer service by phone and occasional direct patient contact, receiving prescriptions, reviewing medication lists with patients, answering and triaging calls to pharmacists as needed, and helping maintain an orderly pharmacy. The liaison helps patients obtain medications conveniently and affordably by facilitating third-party billing and financial advocacy. The position works proactively with patients, providers, clinic staff, and the specialty pharmacy team. It also supports prescription processing, patient account and chart maintenance, prior authorizations and appeals, insurance and copay assistance, medication delivery coordination, and pharmacy technician duties.
Requirements
- Applicable state board-certified Pharmacy Technician License.
- National Certified Pharmacy Technician or Pharmacy Technician License.
- High school diploma or GED.
- At least 1 year of experience in a provider clinic, specialty pharmacy, and/or retail pharmacy.
Nice To Haves
- Bachelor’s degree.
- Graduation from a Pharmacy Technician course.
- EPIC Electronic Health Record training.
Responsibilities
- Process prescription information in the computer system, review patient profiles for accuracy, and help ensure accurate and safe processing.
- Assist with complete and accurate billing of third-party payer plans.
- Assist customers with prescriptions and other products, complete specialty pharmacy orders, and respond appropriately to customer and coworker questions or concerns.
- Receive prescriptions and gather customer information according to department policy.
- Assist with medication preparation and delivery as assigned, following legal requirements, regulatory agency requirements, and organizational policy.
- Document patient information appropriately, maintain updated patient charts, and document refill dates to help prevent missed doses.
- Assist pharmacists in identifying patient problems and issues.
- Access, maintain, and update patient accounts and charts.
- Assist with obtaining prior authorizations and, where appropriate, with appeals of denials; work with provider office staff to obtain refill authorizations proactively.
- Coordinate delivery of medications, supplies, and equipment; take orders and verify information.
- Perform pharmacy technician duties as required, including responding promptly to phone calls, faxes, and computer requests.
- Cross-train and cover assigned technician areas, and train staff members and students as needed.
- Help maintain a clean, orderly, and well-stocked pharmacy.
- Set up new patients with specialty pharmacy accounts and verify insurance coverage.
- Help patients work with insurance companies, research patient- and drug-specific copay assistance, and recommend additional funding sources.
- Contact insurance carriers, benefits offices, and patients to determine new and ongoing coverage; verify insurance information and coverage levels and inform patients about pharmacy benefits.
- Assist patients with the specialty pharmacy process when using a non-participating pharmacy in out-of-network situations.
- Plan and schedule deliveries based on efficiency, timing, priority, product-specific shipping requirements, and cost effectiveness.
- Communicate with internal departments and external specialty pharmacies to meet customer needs.
- Evaluate delivery requirements, ensure timely and accurate delivery, and proactively inform patients of delays.
- Select appropriate delivery methods based on location and time constraints, including FedEx, UPS, courier, mail, or other modes; coordinate receipt of initial shipments.
- Adhere to organizational rules, regulations, and policies.
- Demonstrate commitment to customers by recognizing diverse needs, protecting confidentiality, resolving issues, and contributing ideas to improve customer service.
- Demonstrate commitment to fellow employees through respect, open communication, constructive conflict resolution, and support for workgroup productivity.
- Support Bon Secours Mercy Health’s mission and values of dignity, integrity, service, and compassion, and contribute feedback for continuous improvement.
Benefits
- Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
- Medical, dental, vision, and prescription coverage.
- HSA/FSA options, life insurance, mental health resources, and discounts.
- Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
- Tuition assistance, professional development, and continuing education support.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
