Pharmacy Care Coordinator

• Completes benefit investigations to verify patient eligibility for prescribed specialty medications.

• Maintains current knowledge of payer formularies and reimbursement.

• Engages in personal development to stay updated with pharmacy trends related to role and practice setting.

• Supports third party prior authorization process and obtain appropriate overrides to improve speed to therapy for new patients.

• Maintains accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy

• Triages patient or caregiver clinical questions, medication related concerns, and third-party insurance denials to the pharmacist for intervention as appropriate.

• Utilizes Electronic Health Record to maintain communication between departments and ensure accurate documentation of patient care activities.

• Communicates and represents pharmacy effectively throughout all levels of the organization.

• Serves as the primary point of contact with patients related to specialty medication needs and shows empathy and compassion to patients and caregivers.

• Serves as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide administrative support, communicate changes in medication related coverage and regulatory mandates.

• Facilitates enrollment of patients in patient assistance programs to maximize copay savings and assist with gathering appropriate documentation.

• Utilizes technology to organize daily outreach tasks to complete prescription refills, delivery coordination, and claim processing on time.

Minimum Qualifications

• High school diploma or equivalent.

• Registration with Kentucky Board of Pharmacy upon hire date.

• Pharmacy technician experience required.

• Prior experience with third party billing, financial counseling, or medical terminology and coding preferred.

• Prior experience with Epic electronic medical record preferred.