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.
Baptist Health is an Equal Employment Opportunity employer.