Pharmacy Care Coordinator

Baptist Healthcare System Inc

LaGrange, KY

JOB DETAILS
SKILLS
Administrative Skills, Billing, Co-Payments, Communication Skills, Computer Software, Computer Systems, Data Analysis, Data Collection, Data Quality, Documentation, Electronic Medical Records, Epic Systems, Financial Metrics, Formulary, Healthcare Providers, Healthcare Reimbursement, Insurance, Leadership, Medical Billing, Medical Coding, Medical Record System, Medical Terminology, Medications, Microsoft Excel, Microsoft Word, Nursing, Organizational Skills, Patient Assessment, Patient Care Denials, Performance Metrics, Pharmacy, Physician Assistant, Prescription Drugs, Record Keeping, Requirements Management, Social Work, Team Player, Telephone Skills, Third-Party Payer, Time Management, Voice Mail
LOCATION
LaGrange, KY
POSTED
30+ days ago

Summary Job Description: Baptist Health is searching for a Specialty Pharmacy Care Coordinator to join our team at the new Central Pharmacy, LaGrange, KY! Completes benefit investigations to verify patient eligibility for prescribed specialty medications. Assesses requirements for authorization of medications and maintain knowledge of payer formularies and reimbursement. Supports third party prior authorization process and obtain appropriate overrides for new patients. Maintains accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy. Identifies financial assistance options to maximize copay savings and increase therapy adherence. Serves as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide administrative support and communicate changes in medication-related coverage. Utilizes the Electronic Health Record (HER) to maintain communication between departments and ensure accurate documentation in patient electronic charts. Performs phone functions professionally and in a timely manner, including answering phones, returning calls, and checking voice mail. Coordinates patient scheduling for initial and follow-up appointments. Triages patient clinical questions and third-party insurance denials to the pharmacist for intervention as appropriate. Facilitates adherence to medications by coordinating face-to-face or telephonic patient outreach for timely refills. Maintains a record of activities to support data collection, analysis, and ongoing reporting to leadership related to patient metrics and financial performance. Acts as a contact person for all non-clinical patient/customer questions. Minimum 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. 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. Demonstrated ability to collaborate with healthcare providers and patients to communicate effectively as a patient advocate preferred. Benefits Tuition Assistance reimbursement program Paid Time Off available for use upon hire Company paid Maternity and Paternity Leave Bereavement Leave (includes pets) Employee Assistance Program Retirement plans with company match Company paid Basic Life Insurance & Long-Term Disability * Health Insurance, Pharmacy, Dental, Vision and much more! Work Experience Education 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.

About the Company

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Baptist Healthcare System Inc