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.
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