Drug Coordinator

About the Role

Retina Consultants of Texas (RCTX) is seeking a Drug Coordinator to act as the patient's advocate, ensuring prescribed drug therapy and pharmacy care plans are followed. This role provides assistance by coordinating resources for patients needing copay assistance programs, resolves patient inquiries, and maintains strong relationships with physicians and patients. The position requires variable hours (Monday - Friday, 8:00 am to 5:30 pm).

Responsibilities

• Conduct benefit investigations, verify insurance benefits, and obtain prior authorizations and recertifications.
• Accurately review, enter, and maintain co-pay assistance data in client databases and patient files.
• Monitor outstanding items to ensure task completion and determine patient status.
• Participate in conference calls with Drug Vendor Representatives regarding drug orders and alternative funding.
• Coordinate product orders, shipments, and therapy initiation with pharmacies and patients.
• Triage and respond to incoming calls from patients, insurance companies, physicians, Vendor Representatives, and pharmacies.
• Serve as a single point of contact for assigned prescribers.
• Identify and report adverse events, product quality complaints, and potential risk events to the appropriate team member.
• Educate patients, prescribers, and others on program requirements and facilitate referrals.
• Maintain good housekeeping techniques and comply with safety and environmental programs.

Qualifications

• Computer proficiency in MS Office applications; Electronic Health Records/Practice Management experience preferred.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment and meet deadlines.
• Organized, detail-oriented with good analytical skills.
• Knowledge of third-party billing, coding, medical terminology, prior authorizations, and appeals preferred.

Education Requirements

• High School diploma or equivalent required.
• Bachelor's Degree preferred.

Experience Requirements

• 4 to 6 years of experience in insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement preferred.
• Health Insurance claims or patient accounting experience a plus.

Physical Abilities

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Benefits

• Employee Paid Benefits: Medical, Dental, Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401(k) retirement savings (Roth and Traditional options) from the start date.
• Employer Paid Benefits: Long-term disability, $25,000 basic life insurance, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, and 8 paid holidays + 1 floating holiday annually.

Pay

Pay Rate is $20.00+ per hour and eligible for overtime.