Pharmacy Liaison (Full Time)

It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• 403-B Retirement Plan
• Full time

Shift:
Day-Weekend (United States of America)
Schedule: M-F, 8A-8P with possibility for some weekends (Flexible); 40 hours/week
This position leads and manages referrals, verifies patient demographics and medication coverage, and initiates prior authorization requests. This role facilitates patient assistance, appeals, peer reviews, and co-pay assistance, ensuring communication with specialty patients and referral sources. Other expectations include developing content and presenting clinical services to provider offices, providing metrics related to prior authorization and patient funding success rates.
Participates in quality improvement initiatives to enhance pharmacy services.
Manages inventory to ensure adequate stock levels and compliance with regulations. Utilizes patient assistance programs to provide financial aid to eligible patients.
Proficiency with prescription-filling software and other computer skills [Required]
Proficient in processing third party claims and secondary billing [Required]
Knowledge of part B a part D Medicare billing [Required]
Knowledgeable in most major prescription insurance carrier reimbursement guidelines and eligibility for coverage by third-party payers [Required]
Knowledge of medical terminology and vast understanding of mathematical principles to perform pharmaceutical calculations [Required]
Work Experience:

• 5+ years working in a retail pharmacy or equivalent environment [Preferred]
• Previous experience in a managed healthcare organization, medical insurance company, pharmacy benefit management or other healthcare related entity [Preferred]
• Prior experience facilitating prior authorizations, patient assistance and co-pay assistance [Preferred]
• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:

Registered Pharmacy Technician (RPhT)[Required]
Certified Pharmacy Technician (CPhT) [Required]
Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Pharmacy
Schedule: Full time
Shift: Day-Weekend