Senior Specialty Pharmacy Care Coordinator

Baptist Health; Elizabethtown (KY); On-site; USD 28,000 - 39,000; Full time

Job summary

Baptist Health in Elizabethtown, KY is seeking a Specialty Pharmacy Care Coordinator to join our Cardiology team. You will support patient access to high-touch, complex medications, coordinate with insurers, nurses, social workers and pharmacists, and help secure prior authorizations to advance therapy.

The role emphasizes compassionate patient outreach, accurate benefit investigations, and documentation in the Electronic Health Record to ensure continuity of care and timely prescription

Qualifications

• High school diploma or equivalent.
• Registration with Kentucky Board of Pharmacy upon hire date.
• Pharmacy technician experience required.
• Prior experience with third party billing, financial counseling, or medical terminology and coding preferred.
• Prior experience with Epic electronic medical record preferred.

Responsibilities

• Completes benefit investigations to verify patient eligibility for prescribed specialty medications.
• Maintains current knowledge of payer formularies and reimbursement.
• Supports third party prior authorization process and obtain appropriate overrides to improve speed to therapy for new patients.
• Maintains accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy.
• Triages patient or caregiver clinical questions, medication related concerns, and third-party insurance denials to the pharmacist for intervention as appropriate.
• Utilizes Electronic Health Record to maintain communication between departments and ensure accurate documentation of patient care activities.
• Communicates and represents pharmacy effectively throughout all levels of the organization.
• Serves as the primary point of contact with patients related to specialty medication needs and shows empathy and compassion to patients and caregivers.
• Serves as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide administrative support, communicate changes in medication related coverage and regulatory mandates.
• Facilitates enrollment of patients in patient assistance programs to maximize copay savings and assist with gathering appropriate documentation.
• Utilizes technology to organize daily outreach tasks to complete prescription refills, delivery coordination, and claim processing on time.

Skills

Pharmacy terminology

Billing and financial counseling

Customer service

Interpersonal communication

Education

High school diploma or equivalent

Tools

Epic EMR

Job description

Baptist Health in Elizabethtown, KY is seeking a Specialty Pharmacy Care Coordinator to join our Cardiology team. You will support patient access to high-touch, complex medications, coordinate with insurers, nurses, social workers and pharmacists, and help secure prior authorizations to advance therapy.

The role emphasizes compassionate patient outreach, accurate benefit investigations, and documentation in the Electronic Health Record to ensure continuity of care and timely prescription