Pharmacy Care Coordinator I

Stellus Rx LLC; United States; On-site; USD 32,000 - 43,000; Full time

Job summary

Stellus Rx LLC in the United States seeks a Care Pharmacy Technician to support medication management and patient adherence within care coordination for assigned patient cohorts. The role assists with fulfillment of patient orders to ensure timely delivery, under supervision of pharmacy leadership.

Responsibilities include data entry, insurance claims processing, PHI privacy, and collaboration with pharmacists to address clinical needs and maintain accurate patient records.

Qualifications

• High school diploma or equivalent.
• Pharmacy technician license from the Texas State Board or trainee license.
• Strong communication and customer service skills.

Responsibilities

• Following HIPAA guidelines and protecting PHI.
• Provide telephonic follow up for medication management.
• Coordinate delivery of medications to patients.
• Assist pharmacists with clinical needs and order processing.
• Maintain accurate patient records and input data in the pharmacy system.
• Prepare and process third-party insurance claims.
• Obtain refill authorizations from prescribers.
• Deliver high-quality patient support and promote teamwork.

Skills

Communication skills

Customer service

Education

Pharmacy technician license (TX)

Pharmacy technician trainee license

Tools

Pharmacy software

Job description

The Care Pharmacy Technician will help our communities thrive by optimizing medication management to allow our physicians more time to focus on patient care and support care coordination for assigned patient cohorts. The Care Pharmacy Technician assists with the fulfillment of patient orders to ensure patients receive their medications on time. Under the direction and supervision of the Senior Manager of Pharmacy Services and Team Lead, the Care Pharmacy Technician assists members by providing support, identifying adherence barriers, improving adherence, and facilitating patient medication orders to support member compliance with treatment plans.

ROLE AND RESPONSIBILITIES

• Understand confidentiality with respect to patient/ client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information.
• Provides telephonic follow up with members to provide medication management to assigned patients for chronic disease support.
• Coordinate delivery of medications to the patient
• Facilitate patients to the Pharmacist for all clinical needs.
• Manage patient orders to the point of Pharmacist verification to ensure the order is complete and ready for final verification.
• Complete assigned tasks related to medication management services.
• Accessing, inputting, and retrieving information through the Pharmacy’s computer network to maintain accurate records.
• Obtain refill authorizations from prescribers.
• Process and prepare third-party insurance claims.
• Maintains accurate patient/client profiles.
• Provides medication management services utilizing prescribed workflows.
• Comply with established procedures, rules, and regulations.
• Completes clear and concise documentation in Care Management programs.
• Professionally answer phones and direct customer calls to the appropriate personnel.
• Accept prescriptions to be filled and ensuring that the PIC has the data necessary to fill the orders.
• Handle customer problems/concerns in a calm manner and referring them to the pharmacist accordingly and notify the pharmacist of any issues.
• Promoting teamwork, professional services and clear communication.
• Recognizes and adheres to the scope / limitations of job requirements.
• Performs other related duties as assigned.

Requirements

QUALIFICATIONS AND REQUIREMENTS

• High school diploma or equivalent.
• Pharmacy technician license or pharmacy technician trainee license from the Texas State Board and state of residence.
• Strong communication and customer service skills.
• Work a flexible schedule, including evenings and weekends.
• Ability to read and transcribe pharmaceutical information.
• Sit for long periods of time, stand for intermittent periods of time.