Coordinator I, SPRx Care

FFF_Enterprises; Temecula (CA); On-site; USD 50,000 - 65,000; Full time

Job summary

FFF Enterprises in Temecula, CA is seeking a SPRx Care Coordinator I to manage intake, verify benefits, obtain authorizations, and secure start-of-care forms for SPRx patients. You will also coordinate with pharmacy staff to ensure shipments and act as a liaison between patients and physicians.

You will enter referrals and orders, perform eligibility checks, and discuss financial obligations with patients while maintaining HIPAA-compliant communications.

Qualifications

• High School diploma or equivalent required.
• Knowledge of medical and pharmacy terminology and calculations.
• Excellent verbal and written communication with patients and staff.
• Detail-oriented with accurate follow-up and data handling.
• Ability to work with healthcare professionals and peers.
• Knowledge of state, federal, and Joint Commission guidelines.
• HIPAA confidentiality and discretion in handling patient data.
• MS Office and internet proficiency.
• One year healthcare-related experience; or two years with FFF/Nufactor.
• Pharmacy technician registration and active license.

Responsibilities

• Answer phones professionally and assist internal/external customers.
• Initiate intake and gather data to admit patients to Nufactor services.
• Enter referral data and order entries into system per prescription.
• Perform insurance eligibility and benefits checks for coverage.
• Determine patient financial obligation and arrange payments with them.
• Coordinate with pharmacy staff on shipments and ongoing orders.
• Provide ongoing patient support, track updates and orders.
• Track shipments via FedEx and document delivery in system.
• Ensure compliance with company policies and HIPAA standards.
• Adhere to all applicable laws and regulatory requirements.

Skills

Effective communication

Attention to detail

Multitasking

Team collaboration

HIPAA compliance

Problem solving

Education

High School diploma or equivalent

Pharmacy technician registration

Tools

Microsoft Office

Internet technologies

Job description

Position Summary

The SPRx Care Coordinator I is responsible for the processing and coordination of all SPRx patients. They will verify benefits, obtain authorizations, secure all necessary start of care forms, complete order entry and coordinate with pharmacy staff on shipments. They will also act as a liaison between the patient and the physician’s office to coordinate shipments and place on going orders as needed.

Essential Functions and Duties

• Answers telephones utilizing appropriate etiquette when speaking with internal and external customers.
• Initiates the intake process gathering relevant data from the referral source required to admit patient to Nufactor services.
• Enters complete referral information into Nufactor system of record including order entry per prescription.
• Performs insurance eligibility and benefits checks to ensure proper coverage for Nufactor services.
• Determines patient’s financial obligation, out of pockets expense and copays. Contacts patients prior to start of services to discuss financial obligations and make arrangements for payments.
• Enters complete referral information into Nufactor system of record, including order entry per prescription.
• Provides on-going patient support services, obtaining patient update, orders, service needs, placing medication orders and coordination of clinical needs.
• Track shipments via FedEx.com, confirm delivery with recipient, follow up as needed and document delivery in Nufactor’s system of record.
• Adhere specifically to all company policies and procedures, federal, state, and compliance requirements /regulations/laws.

• Display dedication to position responsibilities and achieve assigned goals and objectives.

• Always represent the Company in a professional manner and appearance.
• Understand and internalize the Company’s purpose.
• Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listen to and objectively consider ideas and suggestions from others; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others by name, title, or other respectful identifier, and respect the diversity of our work force in actions, words, and deeds.

• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.

• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company. Immediately report any concerns or violations.

• Other duties as assigned

Education, Knowledge, Skills, and Experience

Required Education:

• High School diploma or equivalent required.

Required Knowledge:

• Knowledge of medical and pharmacy terminology and calculations, general pharmacy dispensing requirements, including identification of items requiring prescription and valid prescribing data.
• Excellent verbal and written communication skills and the ability to interact effectively with patients, co-workers, and management.
• Ability to work with a high degree of accuracy in an organized, detail-oriented manner with appropriate follow-up when required.
• Ability to communicate effectively and at the appropriate level with healthcare professionals and peers.
• Ability to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, with limited supervision and direction, except where required/restricted by law.
• Working knowledge of state, federal and Joint Commission guidelines/regulations/laws.
• Ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards.
• Ability to use and understand Microsoft Office skills and internet technologies.

Preferred Experience:

• One (1) year health care related experience in a pharmacy, home infusion, specialty/mail order related setting or hospital required.
• In lieu of job-related experience, two (2) years of employment with FFF/Nufactor.

Required Skills:

• Intermediate level of understanding and use of computers applications that include Microsoft Office (Outlook, Word, Excel) and internet technologies.
• Operate office equipment which includes computer, scanner, printer, copier, and phones.
• Strong organizational skills.
• Work with a high degree of accuracy in an organized, detail-oriented manner with appropriate follow up as required.
• Proactive approach to managing workload, able to multi-task and handle frequent interruptions.
• Able to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, except were required or restricted by law.
• Effective verbal and written communication skills and ability to interact professionally and successfully with patients, healthcare providers, teammates, and management.
• Able to work as part of a team, including on-site and remote teammates.
• Display excellent judgment on a consistent basis with sound decision-making abilities.

Professional Certification:

• Full, current, and unrestricted pharmacy technician registration in the state in which you practice.

Physical requirements

Vision, hearing, speech, movements requiring the use of wrists, hands and/or fingers. Must have the ability to view a computer screen for prolonged periods and the ability to sit for extended periods. Must have the ability to work the hours and days required to complete the essential functions of the position, as scheduled. Must have the ability to lift and maneuver items of at least 20 lbs. Must have the ability to travel occasionally. Working condition include normal office setting.

Mental Demands

Learning, thinking, concentration and the ability to work under pressure, particularly during busy times. Must be able to pay close attention to detail and be able to work as a member of a team to ensure excellent customer service. Must have the ability to interact effectively with co-workers and customers, and exercise self-control and diplomacy in customer and employee relations’ situations. Must have the ability to exercise discretion as well as appropriate judgments when necessary. Must be proactive in finding solutions.

Direct Reports

No

EEO Statement

FFF Enterprises and Nufactor are an equal opportunity employer and prohibits discrimination and harassment based on the following characteristics: race, color, religion, national origin, physical or mental disability, gender, age (40 years and over) qualified veteran and any other characteristic protected by state or federal anti-discrimination law covering employment. These categories are defined according to Government Code section 12920. The Company prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics.