Specialty Pharmacy Care Coordinator - Endocrinology

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

• Assesses requirements for authorization of medications and maintain knowledge of payer formularies and reimbursement.

• Supports third party prior authorization process and obtain appropriate overrides 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.

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

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

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

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

• 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.

• 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.

• 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 Excel and Microsoft Word preferred.