Oncology Pharmacy Benefits & Denials Coordinator

Mercy; Maryland Heights (MO); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health benefits

Job summary

Mercy is seeking a Specialty Account Coordinator I to manage patient accounts, verify insurance, handle denials, and assist with program enrollment. This role involves coordinating with physicians, staff, patients, and insurers to ensure accurate billing and eligibility for assistance programs.

The position requires knowledge of pharmacy billing, oncology coding, and regulatory guidelines, with a focus on accuracy and patient communication.

Qualifications

• Interpersonal, organizational, and analytical skills required.
• Ability to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.
• Ability to use logic, good judgment and rapidly identify and initiate corrective actions when problems arise.
• Must be able to communicate effectively providing good written and oral direction to co-workers.
• Must be able to work effectively with VBO management and co-workers in demanding situations.

Responsibilities

• Coordinate patient accounts including insurance/benefit verification, rejection and denials management and collections.
• Assist patients in enrolling in assistance programs such as drug copay cards and foundations.
• Monitor services rendered and billing for applicable funds.
• Maintain understanding of programs, funding guidelines, claims procedures, and insurance company regulations.
• Serve as a resource for staff and patients; may perform senior Pharmacy Technician duties as needed.

Skills

Interpersonal skills

Organizational skills

Analytical skills

Communication skills

Decision making

Problem solving

Education

State Technician license in good standing

Certified Pharmacy Technician (CPhT)

Some college hours in Business/Finance/Accounting

Job description

Mercy is seeking a Specialty Account Coordinator I to manage patient accounts, verify insurance, handle denials, and assist with program enrollment. This role involves coordinating with physicians, staff, patients, and insurers to ensure accurate billing and eligibility for assistance programs.

The position requires knowledge of pharmacy billing, oncology coding, and regulatory guidelines, with a focus on accuracy and patient communication.