Job Description:
Baptist Health is recruiting a Specialty Pharmacy Care Coordinator to join our Gastroenterology/Pulmonology team at 913 N. Dixie Avenue, Elizabethtown, KY.
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.
Minimum Requirements
- 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.
- 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.
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork, and innovation, we urge you to apply now!
Baptist Health is an Equal Employment Opportunity employer.
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