The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic team to support patient access to high touch, complex medication therapies.

Duties and Responsibilities:

• 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.

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, not required to apply.
• 2+ years pharmacy technician experience preferred. not required to apply.
• Prior experience with third party billing, financial counseling, or medical terminology and coding preferred
• Prior experience with Epic EMR preferred
• Completion of 340B University or Apexus certification within 6 months of hire