Patient Care Coordinator- Hybrid- Specialty Pharmacy Management Services

CarepathRx; United States; Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Case Coordinator to transform hospital pharmacy services into a revenue-generating powerhouse. This role focuses on providing exceptional support to specialty pharmacy teams and clients while ensuring a seamless experience for patients. You'll manage case coordination, assist with prior authorizations, and maintain organized patient files. Join a forward-thinking company that values teamwork and personal growth, offering a comprehensive benefits package and a supportive work environment. If you thrive in a fast-paced setting and are passionate about patient care, this opportunity is perfect for you.

Benefits

Medical/Dental/Vision Insurance

401(k)

Paid Time Off

Flexible Spending

Life Insurance

Short-term Disability

Paid Holidays

Qualifications

• Minimum of 2 years of healthcare/specialty pharmacy experience required.
• Registered Pharmacy Technician in Pennsylvania; Florida license may be required.

Responsibilities

• Coordinate overall case management for patients and provide support to pharmacy teams.
• Deliver exceptional customer service in a phone-based environment.

Skills

Windows

Excel

Word

Verbal Communication

Written Communication

Interpersonal Skills

Organizational Skills

Self-Motivation

Education

High School Diploma or Equivalent

Registered Pharmacy Technician Certification

National Certified Technician License (PTCB)

Job description

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services, and wrap-around services.

Job Details:

Responsible for the overall case coordination for all client’s patients.

Responsibilities

• Provide support to specialty pharmacy teams/clients and their operations, including but not limited to completing prior authorization documentation, scheduling medication delivery and pick-up, retrieval and distribution of documents, and assisting patients in obtaining financial assistance within mandated timeframes.
• Deliver an exceptional customer service experience daily in a phone-based environment.
• Perform tasks such as prior authorizations, billing, and eligibility checks, which require outbound calls to patients.
• Manage current case queues to resolve patient logistic issues related to deliveries, demographic changes, or insurance updates.
• Partner with technicians and pharmacists to ensure successful onboarding of new patients to CarepathRx.
• Make welcome calls to newly onboarded patients and establish a trusted contact point.
• Make outbound calls to update or create patient and provider demographic profiles (non-clinical information).
• Serve as backup support during high call volumes.
• Assist with non-clinical patient questions; clinical questions are transferred to a licensed pharmacist.
• Maintain organized and accurate files related to patient case coordination and services.
• Adhere strictly to all policies and procedures, ensuring compliance with standards and guidelines.
• Identify and document complaints, concerns, or deficiencies to the manager.
• Provide excellent internal and external customer service, maintaining professionalism at all times.
• Maintain patient confidentiality at all times.
• Perform other non-clinical duties as directed by supervisors.
• Educate prospective patients on hospital services and care improvements.

Skills & Abilities

• Proficient in Windows, Excel, Word, and related programs.
• Strong verbal and written communication skills.
• Comfortable in a phone-based environment.
• Ability to work independently and as part of a team.
• Self-motivated and goal-oriented.
• Capable of using multiple software programs for medication authorizations and transfers.
• Excellent interpersonal skills for coordinating multiple contacts and advocating for patient care.
• Organizational skills suitable for a fast-paced, sometimes unstructured environment.

Qualifications

• High school diploma or equivalent.
• Registered Pharmacy Technician in Pennsylvania; Florida license or ability to obtain one may be required.
• Certification as a Pharmacy Technician in Pennsylvania; Florida license or ability to obtain one may be required.
• National Certified Technician License (PTCB) preferred.
• Willingness to become registered in multiple states including AL, NY, TN.
• Minimum of 2 years healthcare/specialty pharmacy experience.
• Knowledge of clinical and medical terminology preferred.
• Understanding of pharmacy terminology, evaluation, and law.
• Flexible with work schedule.
• Ability to work remotely at a desk for 90% of the time.

CarepathRx offers a comprehensive benefits package including medical/dental/vision, flexible spending, life insurance, short-term disability, voluntary benefits, 401(k), Paid Time Off, and paid holidays. Coverage begins the first of the month after hire.

CarepathRx is an equal opportunity employer, committed to diversity and inclusion. We encourage applicants to self-identify voluntarily. We maintain a drug-free workplace and require eligibility to work in the country.