Specialty Pharmacy Care Rep Call Center, Central Pharmacy

Baptist Health System KY & IN
LaGrange, KY
Full-time

Description

The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic team to support patient access to high touch, complex medication therapies.

Duties and 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.

Qualifications :

  • 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 preferred, not required to apply.
  • 2+ years pharmacy technician experience preferred. not required to apply.
  • Prior experience with third party billing, financial counseling, or medical terminology and coding preferred
  • Prior experience with Epic EMR preferred
  • Completion of 340B University or Apexus certification within 6 months of hire

Baptist Health is an employer.

30+ days ago
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