Specialty Pharmacy Coordinator: Prior Auth & Aid

101 Riverside Hospital, Inc.; Chesapeake (VA); On-site; USD 32,000 - 44,000; Full time

Job summary

Riverside Health System in Chesapeake, Virginia is seeking a Specialty Medication Coordinator to manage third-party billing and patient financial assistance for high-dollar specialty meds. You will handle referrals, prior authorizations, and patient documentation to support timely cancer and other specialty therapies.

Ideal candidates have Pharmacy Technician background with LPN or CMA credentials and experience with patient assistance programs, HIPAA compliance, and EHR systems.

Qualifications

• Education: Pharmacy Technician Training Program or equivalent.
• Experience: 3-4 years as Pharmacy Technician, LPN or CMA.
• 1 year experience obtaining and managing prior authorizations.
• 1 year experience with patient assistance programs.

Responsibilities

• Process referrals and submit clinical docs to carriers/manufacturers to expedite prior auth.
• Collaborate with departments to obtain prior authorizations and patient assistance.
• Assist with medical necessity documentation to expedite approvals.

Skills

Medical terminology

Pharmacy terminology

Customer service

HIPAA compliance

EHR navigation

Education

Pharmacy Technician Training Program

Licensed Practical Nurse

Certified Medical Assistant

VDHP Pharmacy Technician license

Job description

Riverside Health System in Chesapeake, Virginia is seeking a Specialty Medication Coordinator to manage third-party billing and patient financial assistance for high-dollar specialty meds. You will handle referrals, prior authorizations, and patient documentation to support timely cancer and other specialty therapies.

Ideal candidates have Pharmacy Technician background with LPN or CMA credentials and experience with patient assistance programs, HIPAA compliance, and EHR systems.