Specialty Pharmacy Access & Care Coordinator

BHS; La Grange (KY); On-site; USD 50,000 - 70,000; Full time

Job summary

Baptist Health is seeking a Specialty Pharmacy Care Coordinator to join our team at 2800 Breckenridge Lane, Louisville, KY. You will complete benefit investigations, assist with prior authorizations, and help patients access specialty medications while coordinating with physicians, nurses, social workers, and other care team members.

You will advocate for patients, manage copay assistance enrollment, and track care outcomes to improve therapy access and continuity of care.

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 to 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 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.
• Facilitates enrollment of patients in patient assistance programs to maximize copay savings.

Skills

Pharmacy technician experience

Third party billing knowledge

Medical terminology and coding

Education

High school diploma or equivalent

Tools

Epic EMR

Job description

Baptist Health is seeking a Specialty Pharmacy Care Coordinator to join our team at 2800 Breckenridge Lane, Louisville, KY. You will complete benefit investigations, assist with prior authorizations, and help patients access specialty medications while coordinating with physicians, nurses, social workers, and other care team members.

You will advocate for patients, manage copay assistance enrollment, and track care outcomes to improve therapy access and continuity of care.