Cardiology Specialty Pharmacy Access & Care Coordinator

Baptist Health; Lexington (KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Baptist Health Hamburg Cardiology in Lexington, KY seeks a Specialty Pharmacy Care Coordinator to support access to high-touch, complex therapies in a specialty pharmacy clinic setting under pharmacist supervision.

You will complete benefits investigations, assist with prior authorizations, and coordinate patient outreach while collaborating with insurance providers, nurses, social workers and physicians to optimize care and ensure timely therapy.

Qualifications

• High school diploma or equivalent is required.
• Pharmacy technician experience is preferred.
• PTCB certification is preferred.
• Experience with third-party billing or medical terminology and coding is preferred.
• Experience with Epic EMR is preferred.
• Must obtain 340B University or Apexus within 6 months.

Responsibilities

• Complete benefit investigations to verify patient eligibility for prescribed specialty medications.
• Maintain current knowledge of payer formularies and reimbursement.
• Support third-party prior authorization process and obtain appropriate overrides.
• Maintain accurate insurance information and monitor for renewal needs.
• Triage patient or caregiver questions to the pharmacist when appropriate.
• Use the EHR to communicate between departments and document patient care activities.
• Serve as the primary point of contact with patients regarding specialty medications.
• Coordinate enrollment in patient assistance programs to maximize copay savings.
• Organize daily outreach tasks for refills, delivery coordination and claim processing.

Skills

Pharmacy technician

Epic EMR

Insurance billing

Education

High school diploma or equivalent

Tools

Epic EMR

Billing software

Job description

Baptist Health Hamburg Cardiology in Lexington, KY seeks a Specialty Pharmacy Care Coordinator to support access to high-touch, complex therapies in a specialty pharmacy clinic setting under pharmacist supervision.

You will complete benefits investigations, assist with prior authorizations, and coordinate patient outreach while collaborating with insurance providers, nurses, social workers and physicians to optimize care and ensure timely therapy.