Pharmacy Care Coordinator
Baptist Health System KY & IN
Job Description:
Baptist Health is looking for a Pharmacy Care Coordinator to join our team at our Baptist Health Corbin retail pharmacy!
- Completes benefit investigations to verify patient eligibility for prescribed specialty medications.
- Assesses requirements for authorization of medications most commonly prescribed and maintain current knowledge of payer formularies and reimbursement.
- Supports third party prior authorization process and obtains appropriate overrides to improve speed to therapy.
- Maintains accurate insurance information and monitors 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 support.
- Utilizes Electronic Health Record (EHR) 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, checking voice mail, and faxing.
- 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.
Qualifications:
- 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 Office 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.
Vacancy posted more than 2 months ago
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