Pharmacy Patient Care Coordinator

Job Summary

The incumbent will serve as the primary point of contact for PIHC Pharmacy for the assigned PIHC Clinic Team. Responsibilities include providing customer service and communication for patient medication access, assisting with prior authorizations, managing billing, and supporting medication compliance.

Essential Functions

• Serve as PIHC Pharmacy liaison to assigned PIHC Clinic team to field questions related to patient medication access.
• Establish self as primary internal and external liaison and subject matter expert for medication assistance through educational trainings.
• Screen, apply, and coordinate application of medication assistance opportunities for patients.
• Enroll and coordinate necessary paperwork for manufacturer assistance programs, disease-based assistance programs, and identify co-pay assistance opportunities for underinsured patients and use of charity funds as appropriate, following PIHC Pharmacy’s Policies and Procedures.
• Absorb and coordinate the Prior Authorization process.
• Support agency-wide efforts to ensure access to prescription medications.
• Coordinate documentation to promote continuity of treatments, improve access to medications, decrease financial strain, and serve as a resource for medication assistance-related questions.
• Contribute to policy changes, goal setting, or making recommendations for improvements.
• Attend and conduct meetings as deemed appropriate by pharmacy management.
• Provide quality customer service to patients and other healthcare providers, with focus on professional discretion and HIPAA regulations.
• Perform all tasks in a safe manner that is consistent with corporate policies as well as state and federal laws.
• May be assigned additional process or quality improvement projects based on departmental need.

Knowledge, Skills, And Abilities

• Able to function independently without close supervision when appropriate.
• Able to adapt to change in workflow/style.
• Proficient computer skills, word processing, documentation, and navigation of the internet.
• Excellent time management and research skills.
• Ability to problem solve and communicate effectively.
• Knowledge of Patient Assistance Programs (PAPs) and ability to navigate alternative sources of funding.
• Clear understanding of and the ability to comply with the GA BOP Rules and Regulations.
• High level of attention to detail.
• Comfortable with addressing insurance rejections and prescription claims processing.
• Self-motivation and driven to succeed.

Minimum Qualifications

• Licensed pharmacy technician in good standing with the Georgia Board of Pharmacy.
• 2-4 years of pharmacy technician experience in a retail setting with experience with pharmacy insurance navigation and various medication assistance programs.

Preferred Qualifications

• Bilingual (English/Spanish).
• Experience working in HIV and/or Specialty Pharmacy.
• Previous experience with Cerner EMR.
• Past experience with Pioneer Rx Fill Software.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Salary Description

$26-28