Precert Pharm - Specialty Coordinator

Industrial Asset Management Council, Inc; Missouri; Remote; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare organization is seeking a detail-oriented pharmacy coordinator to manage prior authorizations for specialty medications. This remote role involves collaborating with clinical teams, ensuring timely access to medications, and supporting patients facing financial challenges. Ideal candidates will have strong communication skills and relevant certifications. Join a team dedicated to providing exceptional patient care and making a difference in the community.

Benefits

Comprehensive medical insurance

Dental and vision insurance

401(k) plans

Tuition assistance

Qualifications

• Coordinate with clinical staff for medication access.
• Complete prior authorizations and document thoroughly.

Responsibilities

• Expedite patient access to specialty medications.
• Document authorizations with expiration dates and follow-up actions.
• Verify insurance eligibility through confirmatory checks.

Skills

Communication

Coordination

Education

High School Diploma or GED

Associate or Trade School equivalent

Tools

Pharmacy Tech Certification

Registered Medical Assistant

Job description

Additional Information About the Role

Are you looking for an opportunity to advance your pharmacy career? Our oncology team is expanding and is looking for an eager and detail-oriented coordinator to join our team! In this role, you will handle complex prior authorization tasks for patients receiving oral chemo medications. This is a great opportunity to expand your clinical and pharmacy knowledge.

• Remote / Work from home opportunity
• Monday - Friday
• 8 AM - 4:30 PM

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois, and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban, and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care, and hospice.

BJC is the largest provider of charity care, unreimbursed care, and community benefits in Missouri. It provides $785.9 million annually in community benefits, including $410.6 million in charity care and financial assistance to ensure medical care regardless of ability to pay. BJC also contributes through research, emergency preparedness, health literacy, community outreach, and economic development.

Patients benefit from access to the latest medical advances through a partnership between Barnes-Jewish Hospital, St. Louis Children’s Hospital, and Washington University School of Medicine, ranked among the top medical schools nationally.

Preferred Qualifications

Role Purpose

Coordinate with departmental and clinical staff to ensure coverage and reimbursement for specialty pharmacy services, including complex and high-dollar prior authorizations, copay assistance, and patient support. Complete data elements efficiently and communicate effectively with clinical staff and patients to ensure timely, affordable medication access.

Responsibilities

1. Expedite patient access to specialty medications by coordinating with providers, payors, and clinical teams to complete prior authorizations using medical record analysis and benefit investigations.
2. Document all authorizations thoroughly, including expiration dates, appeal requirements, and follow-up actions.
3. Verify existing pre-certifications and insurance eligibility through confirmatory checks.
4. Collaborate with case management, payors, and manufacturer assistance programs to support patients facing financial challenges.
5. Assist providers with prior authorization appeals and advise patients on pharmacy networks and alternative options.

Minimum Requirements

Education

• High School Diploma or GED

Experience

• <2 years

Supervisor Experience

• None

Preferred Requirements

Education

• Associate or Trade School equivalent

Experience

• 2-5 years

Licenses & Certifications

• Pharmacy Tech Certification
• Registered Medical Assistant

Benefits and Legal Statement

BJC Total Rewards

Our benefits include comprehensive medical, dental, vision, life insurance, legal services, disability insurance, pension and 401(k) plans, tuition assistance, and more. Details at www.bjctotalrewards.com/Benefits.

*Not all benefits apply to all jobs.

This description provides a general overview of the position's responsibilities and is not exhaustive. BJC is an Equal Opportunity Employer.