Pharmacy Care Coordinator

Clinical Administrative Support PRN US:Florida:Largo:HomeCare Largo Details At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. BayCareis currently in search of our newest Pharmacy Care Coordinator - Home Infusion who is passionate about providing outstanding customer service to our community. Pharmacy Care Coordinator position details: Facility: BayCare Home Care Location: Largo, FL Status: PRN as needed, hourly Shift: Monday - Friday, 8AM-5PM Weekend Work: None Remote: Hybrid BayCare is all about making the most of your life and loving your career. With this in mind, BayCare provides an array of benefits to help you meet the daily challenges of balancing all aspects of your life and career goals. Medical benefits (Health, Dental, Vision) Paid time off Tuition reimbursement 401k match and additional yearly contribution Yearly performance appraisals and team award bonus Extensive training and mentorship along with amazing career growth opportunities Community discounts and more AND the Chance to be part of an amazing team and a great place to work! Pharmacy Care Coordinator Responsibilities Processing new referrals, verify all necessary information is included in the referral, entering new referrals and updates all existing patient information (insurance information, patient demographics benefit information) into the corporate IS systems; Verify all referrals meet all regulatory, payer, and safety requirements; Create pharmacy packets; Communicates information to the referral source and patient and/or caregiver on all deliveries to confirm address, patient responsibilities for co-payment and co-insurance. Verifies insurance and benefits for all Medicare, Managed Care, and Private Fee for Service Plans. Responsible for selecting the correct payer and diagnoses codes. Understands medical criteria for securing all required information from the referral source. Responsible for entering the appropriate financial information including benefits, deductibles, co-pays, coinsurance, out of pocket into the EHR. Responsible for timely requests and communication of authorizations to payer and documentation in EHR. Additional responsibilities include advising patient and referral source on Medicare and Managed Care guidelines and reimbursement issues as needed, performs ICD-10 coding of referrals and other duties as assigned. Timely response to referral sources, providers, and leadership is essential. Monitors and communicates referral source activity acting as one point of contact for referral sources, home health, and home infusion. Requirements Required: High School Diploma or GED Preferred: Pharmacy/infusion/insurance experience Equal Opportunity Employer Veterans/Disabled #J-18808-Ljbffr