Specialty Pharm Account Coordinator

mercy; St. Louis (MO); Presencial; USD 42 000 - 54 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, dental, and vision coverage

Paid time off

Tuition support

Matched retirement plans

Resumo da oferta

Mercy in St. Louis, MO seeks a Specialty Account Coordinator I to coordinate patient accounts, verify insurance and benefits, and manage denials and collections.

You will assist patients in enrolling in drug copay cards and foundation programs, monitor services, and bill the applicable funds while adhering to oncology billing guidelines.

The role requires accuracy, strong communication with physicians, staff, patients and insurers, and may serve as Senior Pharmacy Technician when needed.

Qualificações

• Some college hours in Business, Finance and/or Accounting related courses preferred.
• Current State Pharmacy Technician license in good standing.
• CPhT certification within six months of start.

Responsabilidades

• Coordinate patient accounts, verify insurance and benefits.
• Manage denials and collections processes.
• Assist patients enrolling in drug copay cards and foundations.
• Monitor funding programs and bill applicable funds.
• Stay updated on pre-certification, medical necessity and claims submission rules.
• Communicate effectively with physicians, staff, patients, and insurers.
• Serve as a resource to staff; act as Senior Pharmacy Technician when needed.
• Perform duties per Mercy Service Standards.

Conhecimentos

Interpersonal skills

Organizational skills

Analytical skills

Communication skills

Problem solving

Team collaboration

Formação académica

Some college in Business/Finance/Accounting

Descrição da oferta de emprego

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.