ESSENTIAL FUNCTIONS
· Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
· Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information
· Is flexible and able to adapt to changes, resolve unexpected problems, and handle different tasks and responsibilities without compromising the quality of work
· Communicate with external entities as needed
· Perform all insurance benefit investigations, review of claim rejects, overrides, etc.
· Work with patients to find financial aid (grants, manufacturing programs, discount cards etc.) to ensure they have access to the medications they need
· Provide direct support to patients to ensure that they are supported through their therapy regimen and achieve their intended outcome
· Ability to prioritize patient needs
· Serve as a liaison between clinicians, care coordinators, pharmacy, and assistance programs to ensure patient support throughout the treatment of their care
· Manages designated tasks and prioritize work
· Create detailed resources and documents related to business operations and workflow as assigned
· Coordinate patient care activities and scheduling as assigned
· Provide medication access recommendations to care team members and clinicians as appropriate
· Access, input, and retrieve information through the Care Management computer network to maintain accurate records
· Participate in scheduled PSHO meetings
· Comply with established procedures, rules, and regulations
· Conduct outreach calls to patient and PHSO staff
· Handle patient issues in a calm manner and referring them to the pharmacist accordingly and notify the pharmacist of any issues
· Promote teamwork, professional services, and clear communication
· Recognize and adhere to the scope / limitations of job requirements
· Perform other related duties as assigned by manager
· Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
• High School diploma or GED required
• Must be at least 18 years of age
• Iowa Board of Pharmacy Certified Pharmacy Technician (CPhT) License preferred, or alternative medical licensure may also be considered, (i.e., social worker, etc.)
• Knowledge of health benefit investigations, prior authorization support, patient financial assistance, medical terminology, diagnoses, and procedures preferred
• Proficient in Microsoft Office products
• Ability to work across business lines effectively and communicate clearly with colleagues and patients/customers
• Completion of Mandatory Reporter abuse training for child and dependent adult abuse within three (3) months of hire
• Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.