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Baptist Health System KY & IN
Pharmacy Care CoordinatorBaptist Health System KY & IN • Corbin, KY
Pharmacy Care Coordinator

Pharmacy Care Coordinator

Baptist Health System KY & IN • Corbin, KY
30+ days ago
Job type
  • Full-time
Job description

Description

:
  • 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.

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Pharmacy Care Coordinator • Corbin, KY

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