Specialty Pharm Account Coordinator

MHM Support Services; Maryland Heights (MO); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Tuition support

Retirement plan matching

Job summary

Mercy is seeking a Specialty Account Coordinator I to manage patient account coordination, including insurance/benefit verification, denials management, and collections. This role requires knowledge of assistance programs and billing for funds.

You will help patients enroll in drug copay cards and foundations, monitor services, and ensure accurate claims submission per payer requirements. Strong communication with physicians, staff, patients, and insurers is essential.

Qualifications

• 3+ years related experience including 1 year of pharmacy experience.
• Certified Pharmacy Technician (CPhT) certification within 6 months from start.
• Excellent communication with physicians, staff and insurers.

Responsibilities

• Coordinate patient accounts including insurance/benefit verification, rejection and denials management and collections.
• Assist patients in enrolling in assistance programs (drug copay cards, foundations) and monitor billing for funds.
• Ensure compliance with pre-certification, medical necessity criteria and payer requirements.

Skills

Interpersonal skills

Organizational skills

Analytical skills

Communication skills

Education

Some college hours in business/finance/accounting

State Pharmacy Technician license

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.

Transforming the Health of Our Communities

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.