Specialty Pharmacy Care Coordinator - Gastroenterology

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

• Assess requirements for authorization of medications most commonly prescribed and maintain current knowledge of payer formularies and reimbursement.

• Support third party prior authorization process and obtain appropriate overrides to improve speed to therapy.

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

• Identify financial assistance options to maximize copay savings and increase therapy adherence. 

• Serve as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide support.

• Utilize EMR to maintain communication between departments and ensure accurate documentation in patient electronic charts. 

• Support pharmacist with in-clinic or telephonic patient activities.

• Facilitate adherence to medications by coordinating face to face or telephonic patient outreach to ensure timely refills.

• Coordinate patient scheduling for initial and follow up appointments.

• Triage patient clinical questions and third-party insurance denials to the pharmacist for intervention as appropriate.

Minimum Requirements

• 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.