Specialty Pharm Account Coordinator

Mercy Hospital St. Louis Critical Care Medicine Fellowship; Maryland Heights (MO); Sur place; USD 42 000 - 62 000; Plein temps

Résumé du poste

Mercy Hospital St. Louis Critical Care Medicine Fellowship is seeking a Specialty Account Coordinator I to manage patient accounts, verify insurance benefits, handle rejections and denials, and coordinate collections. The role requires knowledge of assistance programs and accurate communication with physicians, staff, patients, and insurers.

A CPhT credential is required within six months from start. You will work on-site with Mercy’s healthcare team to ensure timely billing and accurate

Qualifications

• Strong knowledge of insurance verification, coding and billing principles.
• Experience with pre-certification, medical necessity criteria and claims submission.
• Certified Pharmacy Technician (CPhT) within six months from start date is required.

Responsabilités

• Manage patient account coordination including insurance verification, rejection/denials, and collections.
• Assist patients in enrolling in drug copay cards and foundations and bill funds accordingly.
• Communicate with physicians, staff, patients, and insurers; act as a resource for staff and patients.
• Maintain knowledge of program guidelines, claims procedures, and company regulations.

Connaissances

Insurance coordination

Verifications & denials

Communication skills

Attention to detail

Interpersonal skills

Formation

Some college in Business/Finance/Accounting

Description du poste

Find your calling at Mercy!

TheSpecialty Account Coordinator Iis responsible for multiple facets of patient account coordinationincluding insurance/benefit verification, rejection and denials management and collections. The Specialty Account Coordinator is also responsible for knowing which assistance programs, such as drug copay cards and/or foundations, patients may qualify for, assisting patients in enrolling in thoseprograms, monitoring services rendered and billing the assistance programs for the applicablefunds. This position requires a thorough understanding of all available programs, funding guidelines, claims procedures and insurance company regulations, as well as oncology coding and billing. This position monitors insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements and/or claims submission requirements. This position requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Specialty Account Coordinator I serves as a resource for other staff and patients. This position serves as a Senior Pharmacy Technician as needed. Performs duties in a manner consistent with Mercy Service Standards.

Position Details

Education: Some college hours in Business, Finance and/or Accounting related courses preferred.

Job Description

Find your calling at Mercy!

TheSpecialty Account Coordinator Iis responsible for multiple facets of patient account coordinationincluding insurance/benefit verification, rejection and denials management and collections. The Specialty Account Coordinator is also responsible for knowing which assistance programs, such as drug copay cards and/or foundations, patients may qualify for, assisting patients in enrolling in thoseprograms, monitoring services rendered and billing the assistance programs for the applicablefunds. This position requires a thorough understanding of all available programs, funding guidelines, claims procedures and insurance company regulations, as well as oncology coding and billing. This position monitors insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements and/or claims submission requirements. This position requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Specialty Account Coordinator I serves as a resource for other staff and patients. This position serves as a Senior Pharmacy Technician as needed. Performs duties in a manner consistent with Mercy Service Standards.

Position Details

Education: Some college hours in Business, Finance and/or Accounting related courses preferred.

Licensure: Current State Technician license in good standing

Experience: A minimum of 3 years related experience required including 1 year of relevant pharmacy experience.

Certification/Registration: Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB) is required within six months from start.

Knowledge, Skills And Abilities

Interpersonal, organizational, and analytical skills required.

Must possess ability to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.

Ability to use logic, good judgment ad be able to rapidly identify and initiate corrective actions when problems arise.

Must be able to communicate effectively providing good written and oral direction to co-workers.

Must be able to work effectively with VBO management and co-workers in demanding situations.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

keyword(s): Pharmacy, Pharmacy Technician, Specialty, Account Coordinator

Pharmacy, Pharmacy Technician, Specialty, Account Coordinator