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PANTHERx Rare Pharmacy in Pittsburgh, PA is seeking a Care Coordinator for the RxARECARE program. The role focuses on assisting patients and prescribers with vaccine coordination, order management, and enrollment in financial assistance programs, while ensuring compliance with REMS where applicable.
You will handle data entry, billing updates, prescription retrieval, and customer-facing calls, maintaining confidentiality and high standards of patient care.
7000 Diseases 500 Treatments 1 Rare Pharmacy PANTHERx is the nations largest rare disease pharmacy and we put the patient experience at the top of everything that we do If you are looking for a career in the healthcare field that embraces authentic dedication to patient care you dont need to look beyond PANTHERx In every line of service in every position and area of expertise PANTHERx associates are driven to provide the highest quality outcomes for our patients We are seeking team members who Are inspired and compassionate problem solvers; Produce high quality work; Thrive in the excitement of the ever challenging environment of modern medicine; and Are committed to achieving superior health outcomes for people living with rare and devastating diseases At PANTHERx we know our employees are the driving force in what we do We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers Guided by our mission to provide uncompromising quality every day we continue our strategic growth to further reach those affected by rare diseases Join the PANTHERx team and define your own RxARE future in healthcare
The Care Coordinator focuses on assisting patients and prescribers with coordination of necessary vaccines as determined by the healthcare provider in compliance with the associated REMS program if applicable This position assumes the primary roles of patient care coordinator and order management technician for the RxARECARE program and possess a strong grasp of financial assistance programs that patients may qualify for and assist in enrolling patients in said programs This role also processes pharmacy claims accurately and timely when necessary On a daily basis this role interacts with patients over the phone to coordinate prescription refills update billing information and address patient concerns The Care Coordinator calls pharmacists as needed communicates with healthcare providers in a confidential manner and adheres to applicable healthcare regulations They will be responsible for all order management functions including data entry prescription retrieval adverse eventproduct complaint submission patient profile updates program consent tracking and maintain frequent communication with the manufacturer and the manufacturer nurse care partner To accommodate business and patient services this position may be required to work varied and rotating full time schedules between 800 am 800 pm Monday Friday as required by the Manager
Communicates with patients via phone to establish rapport introduce program offerings customize welcome kit ensure clinical compliance authorize next shipment of medication and coordinate any other patient engagement activities Conducts physician office welcome call to provide overview of the program and complete enrollment in physician office communication preference plan Tracks all interactions with patients and manufacturer representatives utilizing mutually agreed upon platforms to the extent permitted by law Serves as the primary contact for the patient and physician to resolve inquiries Ships patient travel kit by the manufacturers vendor upon patient request or identified need Ensures patients are enrolled and consented with the program and communicate with manufacturer representatives as needed Performs all required order management activities such as orderdata entry patient onboarding profile creation prescription retrieval adverse event and product compliant submission and reconciliation and assigned follow ups Enrolls patients in financial assistance programs as appropriate including Quick Start Bridge Copayment Assistance PAP and Product Replacement if applicable The Care Coordinator will screen and exclude federal and state healthcare program beneficiaries such as Medicare Medicaid the VADoD TRICARE or any other federal or state healthcare plans from participating in the manufacturers commercial co payment program Communicates to patients that they are referring the patient to an independent organization independent from the manufacturer upon a patient transfer to third party PAPs for assistance Triages patients to rotation of all available 501c3 foundations if appropriate Conducts all patients and physicians facing interactions related to reimbursement support including but not limited to processing pharmacy claims obtaining authorizations and overrides as needed and discussing financial responsibility with patients Accepts direction from pharmacists and Leadership regarding various elements of specialty call compliance programs Communicates effectively with both the RPH Supervisor and Program Manager and performs other duties assigned
High school diploma or graduate education degree GEDExcellent communication organizational and interpersonal skills Registration as a pharmacy technician with the Pennsylvania Board of Pharmacy unless holding a current PA State Pharmacist license Note If you are not currently registered as a pharmacy technician in Pennsylvania you may initiate the registration process via the Pennsylvania Licensing System PALS and complete the training requirement upon hire with PANTHERx
Bachelors degree1 3 years customer service experience1 3 years experience in a specialty pharmacy call center environment
This job operates in a professional office environment This role routinely uses standard office equipment such as computers phones photocopiers filing cabinets and fax machines
While performing the duties of this job the employee is regularly required to talk or hear The employee frequently is required to stand; walk; use hands and fingers handle or feel; and reach with hands and arms Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job
Hybrid remote and flexible on site work schedules are available based on the position PANTHERx Rare Pharmacy also affords an excellent benefit package including but not limited to medical dental vision health savings and flexible spending accounts 401K with employer matching employer paid life insurance and shortlong term disability coverage and an Employee Assistance Program Generous paid time off is also available to all full time employees Of course we offer paid holidays too
PANTHERx Rare Pharmacy is an equal opportunity employer and does not discriminate in recruiting hiring promotions or any term or condition of employment based on race age religion gender ethnicity sexual orientation gender identity disability protected veterans status or any other characteristic protected by federal state or local laws