Specialty Pharmacy Account Coordinator
The Specialty Account Coordinator I
The Specialty Account Coordinator I is responsible for multiple facets of patient account coordination, including:
- Insurance/benefit verification
- Rejection and denials management
- Collections
This position also assists patients in enrolling in assistance programs such as drug copay cards and/or foundations, monitors services rendered and bills these programs for applicable funds, and monitors insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements, and/or claims submission requirements.
The Specialty Account Coordinator I 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 serves as a resource for other staff and patients and performs duties as a Senior Pharmacy Technician as needed.
Position Details:
- Education: Some college hours in Business, Finance and/or Accounting related courses preferred.
- Licensure: Current State Technician license in good standing required.
- 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.
Knowledge, Skills And Abilities:
- Interpersonal, organizational, and analytical skills required.
- Able to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.
- Able to use logic, good judgment, and be able to rapidly identify and initiate corrective actions when problems arise.
- Able to communicate effectively, providing good written and oral direction to co-workers.
- Able to work effectively with VBO management and co-workers in demanding situations.
Why Mercy?
- Outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
- Opportunity to grow and contribute to the future of healthcare through innovation, technology, and compassion.
- Team environment where your voice matters.