Specialty Pharmacy Access & Insurance 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

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.