Specialty Pharm Account Coordinator

NOBEL Women; Maryland Heights (MO); On-site; USD 55,000 - 75,000; Full time

Job summary

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

Minimum 3 years related experience with at least 1 year in pharmacy; certification as a Pharmacy Technician (CPhT) within six months is required. Strong communication with physicians and staff is essential.

Qualifications

• Interpersonal, organizational, and analytical skills required.
• Ability to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.
• Ability to use logic and good judgment and to initiate corrective actions when problems arise.
• Clear written and verbal communication with co-workers.
• Ability to work effectively with management and staff in demanding situations.

Responsibilities

• Coordinate patient accounts including insurance/benefit verification, rejection and denials management and collections.
• Assist patients in enrolling in assistance programs and billing the programs for applicable funds.
• Monitor insurance rules and changes on pre-certification, medical necessity, policy and claims submission.

Skills

Interpersonal skills

Organizational skills

Analytical skills

Education

Business/Finance/Accounting coursework

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.