Specialty Pharm Account Coordinator

About the role

Find your calling at Mercy! The Specialty Account Coordinator I is responsible for multiple facets of patient account coordination including insurance/benefit verification, rejection and denials management and collections. The Specialty Account Coordinator is also responsible for knowing which assistance programs, such as drug copay cards and/or foundations, patients may qualify for, assisting patients in enrolling in those programs, monitoring services rendered and billing the assistance programs for the applicable funds. This position requires a thorough understanding of all available programs, funding guidelines, claims procedures and insurance company regulations, as well as oncology coding and billing. This position monitors insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements and/or claims submission requirements. This position requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Specialty Account Coordinator I serves as a resource for other staff and patients. This position serves as a Senior Pharmacy Technician as needed. Performs duties in a manner consistent with Mercy Service Standards.

Requirements

• Education: Some college hours in Business, Finance and/or Accounting related courses preferred.
• Licensure: Current State Technician license in good standing.
• Experience: A minimum of 3 years related experience required including 1 year of relevant pharmacy experience.
• Certification/Registration: Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB) is required within six months from start.

Skills

• Interpersonal, organizational, and analytical skills required.
• Ability to work in stressful situations, meet deadlines