Coordinator I, SPRx Care

About the role

The SPRx Care Coordinator I is responsible for the processing and coordination of all SPRx patients. They verify benefits, obtain authorizations, secure all necessary start of care forms, complete order entry, and coordinate with pharmacy staff on shipments. They also act as a liaison between the patient and the physician’s office to coordinate shipments and place ongoing orders as needed.

Responsibilities

• Answer telephones utilizing appropriate etiquette when speaking with internal and external customers.
• Initiate the intake process by gathering relevant data from the referral source required to admit patient to Nufactor services.
• Enter complete referral information into Nufactor system of record including order entry per prescription.
• Perform insurance eligibility and benefits checks to ensure proper coverage for Nufactor services.
• Determine patient’s financial obligation, out-of-pocket expenses, and copays; contact patients prior to start of services to discuss financial obligations and make arrangements for payments.
• Provide ongoing patient support services, obtaining patient updates, orders, service needs, placing medication orders, and coordination of clinical needs.
• Track shipments via FedEx.com, confirm delivery with recipient, follow up as needed, and document delivery in Nufactor’s system of record.
• Adhere specifically to all company policies and procedures, federal, state, and compliance requirements, regulations, and laws.
• Display dedication to position responsibilities and achieve assigned goals and objectives.
• Represent the Company in a professional manner and appearance.
• Understand and internalize the Company’s purpose; display loyalty to the Company and its organizational values.
• Demonstrate enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers, and others by sharing ideas constructively; listen to and objectively consider ideas and suggestions; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others respectfully and respect the diversity of the workforce.
• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by working safely and immediately reporting any injury, safety hazard, or program violation.
• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company; immediately report any concerns or violations.

Requirements

• High school diploma or equivalent required.
• Knowledge of medical and pharmacy terminology and calculations, general pharmacy dispensing requirements, including identification of items requiring prescription and valid prescribing data.
• Excellent verbal and written communication skills and the ability to interact effectively with patients, co-workers, and management.
• Ability to work with a high degree of accuracy in an organized, detail-oriented manner with appropriate follow-up when required.
• Ability to communicate effectively and at the appropriate level with healthcare professionals and peers.
• Ability to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, with limited supervision and direction, except where required or restricted by law.
• Working knowledge of state, federal, and Joint Commission guidelines, regulations, and laws.
• Ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards.
• Ability to use and understand Microsoft Office skills and internet technologies.

Preferred Experience

• One (1) year of healthcare-related experience in a pharmacy, home infusion, specialty/mail order setting, or hospital required.
• In lieu of job-related experience, two (2) years of employment with FFF/Nufactor.

Required Skills

• Intermediate level of understanding and use of computer applications that include Microsoft Office (Outlook, Word, Excel) and internet technologies.
• Operate office equipment including computer, scanner, printer, copier, and phones.
• Strong organizational skills; work with a high degree of accuracy in an organized, detail-oriented manner with appropriate follow-up as required.
• Proactive approach to managing workload; able to multitask and handle frequent interruptions.
• Ability to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, except where required or restricted by law.
• Effective verbal and written communication skills; ability to interact professionally and successfully with patients, healthcare providers, teammates, and management.
• Ability to work as part of a team, including on-site and remote teammates.
• Display excellent judgment on a consistent basis with sound decision-making abilities.

Professional Certification

• Full, current, and unrestricted pharmacy technician registration in the state in which you practice.

Physical Requirements

• Vision, hearing, speech, movements requiring the use of wrists, hands, and/or fingers.
• Ability to view a computer screen for prolonged periods and the ability to sit for extended periods.
• Ability to work the hours and days required to complete the essential functions of the position, as scheduled.
• Ability to lift and maneuver items of at least 20 lbs.
• Ability to travel occasionally.
• Working conditions include a normal office setting.

Mental Demands

• Learning, thinking, concentration, and the ability to work under pressure, particularly during busy times.
• Ability to pay close attention to detail and work as a member of a team to ensure excellent customer service.
• Ability to interact effectively with co-workers and customers; exercise self-control and diplomacy in customer and employee relations situations.
• Ability to exercise discretion and appropriate judgments when necessary; proactive in finding solutions.