Pharmacy Support Specialist

NewYork-Presbyterian; United States; On-site; USD 66,000 - 103,000; Full time

Job summary

NewYork-Presbyterian Hospital in New York, NY is seeking a Pharmacy Support Specialist with a focus on financial counseling. You will obtain prior authorizations, document clinical data in Epic, and help ensure compliant charging for outpatient cardiac medications.

You will monitor claim data, discuss reimbursement issues with patients, refer to financial assistance when needed, and collaborate with Finance and Billing.

Qualifications

• Associate’s degree or equivalent job experience.
• Demonstrated expertise in logical thinking, data preparation, and analysis.
• Excellent written and oral communication skills.

Responsibilities

• Obtain prior authorizations for outpatient medications.
• Document clinical data into the Epic EMR.
• Monitor pharmacy and hospital claim data and payer requirements.
• Identify reimbursement issues and discuss financial risk with patients.
• Refer patients to appropriate agency when financial issues are identified and collaborate with Finance and Billing.
• Participate in training and maintain competency as assigned.

Skills

Financial counseling

Data analysis

Communication

Medical terminology

Epic EMR

Education

Associate degree or equivalent

Tools

Epic EMR

Microsoft Office

Job description

Location New York, New York Shift: Day Flex (United States of America) Description: Shape the Future of Pharmacy: Pharmacy Support Specialist - emphasis on financial counseling At New York-Presbyterian, we know that extraordinary careers in pharmacy come from the opportunity to do extraordinary work. That's why we're inviting passionate healthcare workers to explore the innovative careers at New York's largest and busiest hospital. There's no better place to define your expertise while working with a team that's defining national standards. In this role, you will work with a team to obtain prior authorization for outpatient medication treatments for patients with cardiac disorders. Expectations include providing documentation and clinical data required by the patient’s third-party payer; accurately and completely documenting all information into the electronic medical record (Epic); monitor pharmacy and hospital claim data; identify critical reimbursement issues and discuss financial risk with the patients; refer patients to appropriate agency when financial issues are identified, work with Finance and Billing to resolve issues in an expedient and initiative-taking manner. Participates in training and continued competency activities and performs other job-related duties as assigned.

Preferred Criteria:

• Medical field experience
• 2+ years of relative professional experience working in a hospital, clinic, physician office, payer business office, case management or social work departments
• Proficient in at least (1) hospital electronic medical record systems and Microsoft Office (Outlook, Word, Excel, and Access)
• Knowledge of medical terminology
• Knowledge of government and commercial payer requirements to ensure accurate and compliant charging and billing of medications.

Financial counseling experience

Required Criteria:

• Associate’s degree or equivalent job experience
• Demonstrated expertise in logical thinking, data preparation, and analysis
• Excellent written and oral communication skills

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses.

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NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range: $66,300-$103,000/Annual

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person.

Join our team and discover where amazing works.

Internationally acclaimed, our hospital leads the way in research, life-shaping education and compassionate care.

Step into a career at a truly Amazing place.

Among the highest echelon of the topmost hospitals in the world, NewYork-Presbyterian is Making It Possible for patients at this moment.

We care for 1 out of every 4 New Yorkers in medical need. The nation's largest not-for-profit academic medical center, with over 2 million patient visits a year.