Patient Care Coordinator - PMS Central Pharmacy

RXinsider LTD.; Albuquerque (NM); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Mental health resources

Blue Cross Blue Shield PPO

Life/AD&D

Disability insurance

401k Plan

Paid time off (PTO)

Flexible benefits

Job summary

VytlOne in Albuquerque, NM seeks a Patient Care Coordinator for the PMS Central Pharmacy. This role supports high-volume retail pharmacy operations and patient care coordination within a dedicated operations team.

You will input referrals, enter new referrals, assist with reimbursements, manage patient charts, and help ensure accurate dispensing and timely service while upholding HIPAA requirements. The position offers a collaborative environment with competitive benefits and opportunities to

Qualifications

• High School Diploma or equivalent and Pharmacy Technician license as required by location.
• Previous pharmacy and customer service experience preferred.
• Strong data entry, organizational and communication skills.

Responsibilities

• Answer referrals and input new referrals into the computer system (Asembia, GRx, Excel).
• Communicate necessary information to obtain benefit information and approvals.
• Maintain patient records and scheduling of dispensing calendar.
• Assist with co-pay collections and reimbursement processes.
• Support in maintaining accuracy of orders, shipments, and inventory.
• Uphold HIPAA guidelines and participate in training and team meetings.

Skills

data entry

prior pharmacy experience

customer service

communication

organization

Education

High School Diploma or equivalent

Pharmacy Technician license

Tools

Asembia

GRx

Excel

Job description

Overview

Patient Care Coordinator - PMS Central Pharmacy - Albuquerque, NM

Continued growth at VytlOne (formerly Maxor) has created an opportunity for a Patient Care Coordinator to join our growing PMS Central Pharmacy. This is an excellent opportunity for a licensed Pharmacy Technician professional with retail pharmacy or high volume experience to make a positive impact in the lives of the patients we care for, working with a devoted pharmacy operations team. This position is located in the PMS Central Pharmacy in Albuquerque, NM.

Our Company

We're VytlOne and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.

Our Locations

The VytlOne workforce brings robust experience, diverse perspectives and passion from over 1,600 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices.

Responsibilities

ESSENTIAL FUNCTIONS (These duties must be performed with or without reasonable accommodation. This document in no way states or implies that these are the only duties to be performed by the employee occupying this position):

1. Answers new referral intake and/or refill calls in a timely and professional manner.2. Accurately inputs new referrals into the computer system and updates information in the computer system (Asembia, Excel, GRx, etc.)3. Communicates to the stakeholders the necessary information to obtain benefit information, authorization, reauthorization, and reimbursement by emailing and scanning pertinent medical information.4. Contact patient to collect information necessary to establish his/her medical chart. Discuss financial obligations with the new patient.5. Address insurance issues that require alternate funding. Register and/or open patients with manufacturer reimbursement programs, as needed.6. Follows-up on authorizations to ensure they are achieved prior to dispensing.7. Schedule dispensing calendar for new or refill customers.8. Sets up shipping arrangements as needed.9. Participate in the Performance Improvement Process.10. Assist in co-pay collections, which require communication with the patient.11. Review dispensing calendar and assists with the completion of all order entries and shipments each day.12. Gather medications and supplies, labels, and has shipments verified for correctness by the Pharmacist.13. Assist the dispensing technicians as needed regarding required refill requests that are discovered at time of dispensing.14. Operate POS and rings sales accurately. 15. Follow-up on any shipping exceptions to ensure patient is aware of any possible delays.16. Assist in ordering medications and supplies, audit receipt of goods, reviews invoices to ensure correctness and routes to appropriate contact. 17. Assist in compiling necessary reports and/or audit information.18. File as necessary.19. Assist in maintaining cleanliness and orderliness of the pharmacy.20. Maintain accurate and complete patient records.21. Participate in pharmacy orientation programs, training programs, pharmacy staff meetings, in-services, and other programs as required.22. Exemplify excellence in customer communications and service standards.23. Maintain good understanding and working knowledge of all VytlOne policies and procedures, and HIPAA operational guidelines, Accreditation requirements, Medicare requirements and other contract guidelines.24. Maintain good inter/intra departmental relationships. Works to create an amiable atmosphere within the department and company.25. Respond to change, performance improvement support, professional growth, and met development goals.26. Promptly report any allegations of impropriety to the Compliance Department.27. Comply with VytlOne ’s Ethical Business Conduct policy and VytlOne ’s Compliance Program.28. Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. 29. Complete required training, as assigned, within the established timeframes. 30. Must be able to cope with the mental and emotional stress of the position.31. Maintain regular attendance in accordance with established policies.32. Perform other job-related duties as assigned.

Qualifications

Education:

• High School Diploma or equivalency. National and/or State Certified Pharmacy Technician license, depending on requirements by location

Experience:

• Previous pharmacy experience and customer service experience preferred,

Knowledge, Skills, and Abilities:

1. Working knowledge of computer software, specifically Microsoft Word2. Ability to accurately enter data into computer3. Ability to prioritize work to meet deadlines4. Ability to work accurately under pressure5. Ability to work through and solve problems independently6. Positive attitude, innovative, self-starter7. Excellent organizational and communication skills, both written and verbal

WE OFFER

At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You will work with a mission-driven organization focused on improving healthcare outcomes. Opportunity to make a measurable impact with your work while growing your career.

Enjoy competitivecompensation, a comprehensive health benefits package, and a supportive team environment including:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

The innovative spirit at VytlOne will transform the way you think about pharmacy & healthcare services. As we pave the way in a relentless commitment to positive health outcomes, it’s never been a better time to be part of the VytlOne team!

VytlOne is an EOE, including disability/vets.