Coordinator, Pharmacy Support & Operations

RXinsider LTD.; Tennessee; Hybrid; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical benefits

Dental & vision

Training programs

Job summary

Cencora is seeking a Pharmacy Operations Professional to join our Ambulatory Pharmacy team in the United States. You will build patient profiles, enter prescription plan data, and confirm information for processing and adjudication, ensuring accuracy and timely service.

The role requires a high school diploma or GED, 2+ years in related fields, and preferred pharmacy technician licensure. Comprehensive benefits and full-time status are offered.

Qualifications

• High school diploma or GED required.
• 2+ years in support, warehouse, logistics, or pharmacy ops.
• Pharmacy technician licensure/credentialing preferred.

Responsibilities

• Create patient profiles in the pharmacy system.
• Enter prescription plan data for processing and adjudication.
• Enter new patient prescription info into the system.
• Handle insurance, reimbursement, and payments with providers, patients, pharmacists.
• Support Ambulatory Pharmacy business goals and metrics.
• Retrieve and prepare medications for pharmacist review.
• Prepare inventory reports for purchasing decisions.
• Submit, receive, and place inventory in stock.
• Answer inbound calls and triage to appropriate staff.
• Assist with adjudicated claims reviews for reimbursement accuracy.
• Provide information for therapeutic consults with patients.
• Intervene with PBMs to resolve plan issues.
• Supply ambulatory dispensing robotic tech; assist with concierge deliveries.
• Perform related duties as assigned.

Education

High School Diploma/GED

2+ years pharmacy ops exp

Pharmacy tech licensure/credentialing

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere.

Job Details

Responsibilities:

• Responsible for creating a patient profile in the pharmacy information system.

• Enters necessary prescription plan information in the patient profile for processing and adjudicating patient’s prescriptions.

• Responsible for entering all new patient prescription information into the pharmacy information system.

• Addresses insurance, reimbursement, and payment issues as appropriate by communicating with insurance providers, patients and pharmacists.

• Participates in achieving business goals and metrics for the Ambulatory Pharmacy.

• Retrieves and prepares the medication for pharmacist review and verification.

• Prepares inventory reports for pharmacist review to purchase.

• Submits, receives, and places inventory in stock.

• Answers inbound telephone calls and triages calls as appropriate based upon the nature of the call to the appropriate staff.

• Assists with the reviews and handling of all adjudicated prescription claims to ensure appropriateness of reimbursement, co-pay and related financials and, if needed, as directed, follows up all such claims deemed inappropriate.

• Assists Pharmacist by providing required information for therapeutic consults with patients.

• Intervenes with Pharmacy Benefit Manager Companies to resolve plan and patient specific adjudication issues.

• Supply and monitor ambulatory dispensing robotic technology.
  Actively participates by delivering medications and pharmaceutical supplies to patients as outlined by the concierge prescription program.

• Performs related duties as assigned.

Education:

• High School Diploma/GED or equivalent experience required.

• 2+ years of experience in support, warehouse, logistics, or pharmacy operations, or a related field required.

• Certification in pharmacy technician licensure or credentialing, or equivalent preferred.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Full time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [e-mail]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Affiliated Companies

Affiliated Companies: AmerisourceBergen Drug Corporation