Patient Care Coordinator

Job Description

Job Description

Description:

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy.

Job Title: Patient Care Coordinator

MUST LIVE IN EITHER TEXAS OR KENTUCKY

POSITION SUMMARY:

The Patient Care Coordinator acts as the patient’s advocate to ensure that the prescribed drug therapy and pharmacy care plan are followed as prescribed, while also delivering courteous, professional and quality service. Assists the patient by coordinating their prescribed pharmacy care with the patient’s health care providers, payers, and other health related resources to ensure successful drug therapy outcomes and demonstrate value to patients, healthcare providers and payers.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Answers and resolves patient inquiries within committed time frames.
• Understands the physical, psychological and social challenges of specific disease states and assists the patient with drug therapy and pharmacy care issues.
• Promotes drug compliance.
• Reports all adverse events related to drug therapy and pharmacy care.
• Establishes and maintains strong customer relationships with physician practices to streamline communication to the patient, payers,
• pharmacist, nurse, lab and other healthcare related parties.
• Participates in administration of patient's pharmacy care plan.
• Troubleshoots and resolves patient and payer issues in a timely fashion.
• Works in a team-structured environment to provide support to other members of the healthcare team.
• Embraces a continuous quality improvement customer service approach by pro-actively identifying areas of improvement and communicating those ideas to the healthcare team.
• Maintains current notes and documentation related to patient's drug therapy and pharmacy care plan; flags issues that need to be Coordinates responses and resolutions with appropriate internal and external parties.
• Actively participates in discussions with pharmacists, nursing services, pharmacy support manager and other pharmacy care coordinators to review cases and related drug therapy and pharmacy care plan issues.
• Performs related duties as assigned.

Qualifications

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Requires a high school diploma and a minimum of two (2) years of experience in a healthcare related call center environment, physician's office or social service environment. 
• Preferred education in fields such as business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a two-year associates degree program or equivalent combination of experience and education.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Strong time management, organizational skills, initiative, professional demeanor and positive attitude
• Attention to detail, quick study, self-motivated, proactive, and the ability to work independently with a high degree of initiative
• Ability to communicate effectively both orally and in writing
• Ability to promote a positive team environment A champion for excellence, efficiency and quality
• Ability to collaborate with other professionals within the organization
• Strong interpersonal skills Working knowledge of Microsoft Office Suite including Word, Excel, Access and Outlook

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit.
• The employee must occasionally lift and/or move up to 10 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Schedule:

• Must be flexible on schedule and hours.
• Some Travel may be required.

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

Artificial Intelligence in Our Recruiting and Employment Process

CareMetx uses artificial intelligence and automated decision-making technology to support parts of our recruiting, hiring, and employment process, including screening applications, scheduling interviews, and evaluating candidate qualifications. These tools support, not replace, human judgment. A qualified member of our team reviews and makes all final hiring and employment decisions.

CareMetx does not develop or use AI tools with the intent to discriminate against applicants or employees on the basis of race, color, religion, sex, age, sexual orientation, national origin, disability, veteran status, or any other protected characteristic.