Specialty Pharmacy Account Coordinator

Mercy; St. Louis (MO); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Tuition suporta

Job summary

Mercy is seeking a Specialty Account Coordinator I to handle patient account coordination, including insurance verification, denials management, and collections. The role also involves guiding patients through qualifying assistance programs and billing accordingly.

The candidate should have at least 3 years of related experience, including 1 year in pharmacy, and must obtain CPhT certification within six months. A state technician license is required.

Qualifications

• 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 and good judgment; identify and initiate corrective actions when problems arise.
• Must be able to communicate effectively, providing written and oral directions to co-workers.
• Work effectively with management and co-workers in demanding situations.

Responsibilities

• Coordinate patient accounts, including insurance/benefit verification, denials management, and collections.
• Assist patients in enrolling in assistance programs (drug copay cards, foundations) and bill programs accordingly.
• Monitor services rendered and ensure proper billing to applicable funds.

Skills

Interpersonal skills

Organizational skills

Analytical skills

Communication skills

Attention to detail

Education

Some college hours in Business/Finance/Accounting

Job description

Find your calling at Mercy!

The Specialty Account Coordinator I is responsible for multiple facets of patient account coordination including 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 those programs, monitoring services rendered and billing the assistance programs for the applicable funds.

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.