Coordinator Manufacturer Special Programs - Remote (TX, MI, FL, PA)

Walgreens; United States; Remote; USD 21,000 - 29,000; Full time

Job summary

Walgreens is seeking a patient access and referral coordinator to provide individualized service to manufacturers, HUBs, and patients regarding prescriptions, programs, and eligibility determinations. You will verify financial documents, calculate FPL%, and support referrals through approval and shipment.

Responsibilities include coordinating referrals, processing orders from multiple channels, briefing pharmacists on condition changes, and following up with patients to ensure timely delivery

Qualifications

• High school diploma or GED required.
• At least 1 year of experience in patient care, healthcare, retail, or customer service.

Responsibilities

• Serves as the single point of contact for manufacturers and third-party HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate.
• Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions.
• May perform Order Processing functions such as data entry, calling doctors' offices for Rx clarifications and updating patient medical profile.
• Performs review of patient financial documents to determine FPL% (Federal Poverty Level percentage) to perform eligibility determination functions.
• Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals.
• Completes monthly benefit investigation to determine patient's eligibility for patient assistance programs (PAP), including review of patient financial documents.
• Consults with the pharmacists to make them aware of any changes in a patient's condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed.
• Assists with patient activities, including follow-up calls for patient's next order/refill, initiate the discharge of patient from services, contact a patient's doctor's office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient's care.

Skills

Customer service

Communication skills

Multitasking

Attention to detail

Prioritization

Education

High school diploma or GED

Job description

Job Summary:

Provides individualized service to new and existing Manufacturers/HUBs/patients in relation to their prescriptions, clinical services and program inquiries for Free Drug, Quick start, Bridge, PAP, replacement or Cash-discount programs. Responsible for processing referrals from initial approval, through verification and shipment in compliance with contractual requirements and will understand manufacturer established eligibility criteria, including but not limited to calculating household income and applicable % of Federal Poverty Guidelines (FPL), and collecting necessary financial documents from patients.

Job Responsibilities:

• Serves as the single point of contact for manufacturers and third-party HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate.
• Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions.
• May perform Order Processing functions such as data entry, calling doctors' offices for Rx clarifications and updating patient medical profile.
• Performs review of patient financial documents to determine FPL% (Federal Poverty Level percentage) to perform eligibility determination functions.
• Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals.
• Completes monthly benefit investigation to determine patient's eligibility for patient assistance programs (PAP), including review of patient financial documents.
• Consults with the pharmacists to make them aware of any changes in a patient's condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed.
• Assists with patient activities, including follow-up calls for patient's next order/refill, initiate the discharge of patient from services, contact a patient's doctor's office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient's care.
• Other responsibilities as judgment or necessity dictate.

About Walgreens

Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

Basic Qualifications

• High school diploma or GED.
• At least 1 year of experience in patient care, healthcare, retail, or customer service-oriented role.
• Experience providing customer service.
• Strong written and verbal communication abilities.
• Ability to prioritize and manage multiple responsibilities.
• Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary.

Preferred Qualifications

• Must have an active pharmacy technician license or certification as required by state Board of Pharmacy.
• Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations.
• At least 1 year of experience in patient care, healthcare, retail, or customer service oriented role
• Strong attention to detail

We will consider employment of qualified applicants with arrest and conviction records. The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits