Specialty Pharmacy Care Navigator

Jefferson Health; United States; On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical insurance

Tuition assistance

Retirement plans

Job summary

Jefferson Specialty Pharmacy in King of Prussia, PA seeks a Pharmacy Representative I to manage refill queues, assist patients, physicians, and pharmacists with claim adjudication, benefit investigations, and financial assistance applications. You will enter patient data into our therapy-specific software and help with filling and distributing prescriptions under a patient care pharmacist's supervision.

The role emphasizes accurate chart reviews, insurance explanations, adherence tracking, and

Qualifications

• 3+ years experience in customer service
• 1+ years experience in a specialty pharmacy or healthcare setting

Responsibilities

• Adjudicate and review claims for reimbursement
• Schedule delivery of specialty meds to ensure adherence
• Explain insurance coverage and copay responsibilities
• Screen patients for financial assistance
• Print paperwork and fill prescriptions under supervision

Skills

Customer service

Pharmacy software

Claim adjudication

Insurance benefits

Education

AS/BS degree preferred

CPhT preferred

Tools

Clinical software systems

Microsoft Office

Job description

Jefferson Specialty Pharmacy in King of Prussia, PA seeks a Pharmacy Representative I to manage refill queues, assist patients, physicians, and pharmacists with claim adjudication, benefit investigations, and financial assistance applications. You will enter patient data into our therapy-specific software and help with filling and distributing prescriptions under a patient care pharmacist's supervision.

The role emphasizes accurate chart reviews, insurance explanations, adherence tracking, and