Patient Care Coordinator (Pittsburgh Hybrid) Specialty Pharmacy Management Services

CarepathRx; United States; Remote; USD 40,000 - 55,000; Full time

Job summary

CarepathRx is seeking a dedicated Pharmacy Case Coordinator to manage patient cases and enhance service delivery through teamwork with pharmacy professionals. The ideal candidate will coordinate medication authorizations, maintain patient files, and provide excellent customer service in a fast-paced environment while ensuring compliance with company policies.

Benefits

Medical, dental, and vision coverage

401(k) plan

Paid Time Off

Company-paid life insurance

Short-term disability benefits

Qualifications

• 2+ years of healthcare/specialty pharmacy experience required.
• Flexibility to work in a remote setting.
• Willingness to become a registered Pharmacy Technician in multiple states.

Responsibilities

• Coordinate case management for all patients.
• Perform prior authorizations and billing tasks.
• Provide an exceptional customer service experience over the phone.

Skills

Communication

Customer Service

Organizational Skills

Problem Solving

Technical Skills

Education

High school diploma or equivalent

Registered Pharmacy Technician

Certification as a Pharmacy Technician

National Certified Technician License

Tools

Windows

Excel

Word

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 various documents, assisting patients in obtaining financial assistance all with-in mandated timeframes

• Providing an exceptional customer service experience each day in a phone based environment

• Perform tasks such as prior authorizations, billing and eligibility checks (requires outbound phone calls to patients)

• Working through current case queues to problem solve for patient logistic issues pertaining to deliveries, change in demographics and/or insurance companies

• Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to CarepathRx

• Placing welcome calls to newly on-boarded patients and work to establish a trusted point of contact

• Placing outbound calls to patients to create, maintain or update patient and provider demographics (leagal name(s), address, phone/fax numbers, emails, etc) profiles (nothing clinical in nature)

• Serve as backup support for times of higher patient call volume

• Effectively assist with patient non-clinical related questions over the phone. If such clinical questions arise, the PCC will transfer the phone call to a licensed pharmacist

• Maintain complete, organized, and accurate files for all patients relating to coordination of services: case management, pharmacy and patient delivery, and any information/data significant to the overall patient case coordination

• Strict adherence to all Policies & Procedures ensuring that case coordination of patient therapy and staff involved in their respective processes are complying with stated guidelines, accreditation standards and maintaining current working knowledge of all areas

• Identification of complaints, concerns or deficiencies with written documentation being given to the respective manager

• Provide excellent internal and external customer service, maintaining a service orientation in all interpersonal relations that conveys a positive, professional image always

• Always maintain the confidentiality of patients and their personal information

• Perform other non clinical related duties as directed by supervisor and manager

• Educate prospective pharmacy patients on how hospital serves patients and improves their overall care.

Skills & Abilities

• Strong computer knowledge with working skills in Windows, Excel, Word, and other related programs

• Good verbal and written communication skills

• Comfortable working in a phone based environment

• Ability to work independently and as a team

• Self-motivated and goal oriented

• Ability to utilize computer equipment, technology and work within multiple software programs to receive medication authorizations, clarifications and/or transfers

• Excellent interpersonal skills that would allow the coordination of multiple contacts and personalities, while maintaining all efforts to advocate on behalf patient care

• Ability to demonstrate organizational skills in a fast paced, sometimes unstructured environment

Qualifications

• High school diploma or equivalent

• Registered Pharmacy Technician in the State of Pennsylvannia. Florida license or ability to obtain Florida license may also be required

• Certification as a Pharmacy Technician in the State of Pennsylvannia. Florida license or ability to obtain Florida license may also be required

• National Certified Technician License preferred (PTCB)

• Willingness to become a registered Pharmacy Technician in multiple states including AL, NY, TN

• Minimum of 2 years or healthcare/specialty pharmacy experience

• Strong clinical and medical terminology knowledge preferred

• Knowledge of basic pharmacy terminology, evaluation, and pharmaceutical law

• Must be flexible with work schedule

• Ability to perform in a remote setting that requires sitting at a desk 90% of the time

CarepathRx offers a comprehensive benefit package for full-time employees that includesmedical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits,401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire .

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.