Specialty Pharmacy Coordinator: PA & Patient Assistance

Riverside Health System; Newport News (VA); On-site; USD 33,000 - 43,000; Full time

Job summary

Riverside Health System in Newport News, Virginia, is seeking a Specialty Medication Coordinator to manage third-party billing and patient financial assistance for high-dollar specialty medications. Responsibilities include obtaining prior authorizations, coordinating patient assistance, and ensuring HIPAA-compliant handling of sensitive information.

The role emphasizes accurate documentation, timely referrals, and collaboration with multiple departments to expedite approvals and ensure quality

Qualifications

• Program Graduate, Pharmacy Technician Training Program or equivalent (Preferred) or
• Program Graduate, Licensed Practical Nurse (Required) or
• Program Graduate, Certified Medical Assistant (Required)

Responsibilities

• Timely process of referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes.
• Demonstrates the ability to work independently, meet deadlines and possesses excellent time management skills.
• Accurate documentation of all intake referrals and/or prior authorization information in patient medical records or tracking software.
• Proactively tracks and manages patient refills/outreach to ensure timely prescription/infusion service.
• Proactively works on prior authorization and patient assistance enrollments due to expire.
• Secure patients' demographic and medical information in compliance with HIPAA policies.

Skills

Medical terminology

Pharmacy knowledge

Customer service

Communication skills

Multitasking

HIPAA compliance

Prior authorizations

Education

Pharmacy Technician Training Program

Licensed Practical Nurse (LPN)

Certified Medical Assistant (CMA)

Tools

Electronic health records

Job description

Riverside Health System in Newport News, Virginia, is seeking a Specialty Medication Coordinator to manage third-party billing and patient financial assistance for high-dollar specialty medications. Responsibilities include obtaining prior authorizations, coordinating patient assistance, and ensuring HIPAA-compliant handling of sensitive information.

The role emphasizes accurate documentation, timely referrals, and collaboration with multiple departments to expedite approvals and ensure quality