Pharmacy Care Coordinator

Summary Job Description:

Baptist Health is searching for a Specialty Pharmacy Care Coordinator to join our team at the new Central Pharmacy, LaGrange, KY! 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. 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 administrative support and communicate changes in medication-related coverage. Utilizes the Electronic Health Record (HER) 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, and checking voice mail. 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. Acts as a contact person for all non-clinical patient/customer questions. 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. Demonstrated ability to collaborate with healthcare providers and patients to communicate effectively as a patient advocate preferred. Benefits Tuition Assistance reimbursement program Paid Time Off available for use upon hire Company paid Maternity and Paternity Leave Bereavement Leave (includes pets) Employee Assistance Program Retirement plans with company match Company paid Basic Life Insurance & Long-Term Disability Health Insurance, Pharmacy, Dental, Vision and much more! Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health's eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates two joint venture hospitals: the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40-bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. Baptist Health employs more than 24,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health's employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. Baptist Health's physician network also includes more than 2,000 independent physicians.

EEO Statement:

Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing.

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