Specialty Pharmacy Liaison
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally and grow spiritually by extending the healing ministry of Christ. You will be valued for who you are and the unique experiences you bring to our purpose-minded team, understanding that together we are even better.
Benefits
- Benefits from Day One: Medical, Dental, Vision Insurance
- Life Insurance, Disability Insurance
- Paid Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% Paid Parental Leave
- Career Development
- Whole Person Well-being Resources
- Mental Health Resources and Support
- Pet Benefits
Schedule
Full time, Day-Weekend shift. Schedule: Monday–Friday, 8:00 AM–8:00 PM with possibility for some weekends (flexible); 40 hours/week.
Responsibilities
- Improve patient outcomes by assisting with processing, filling, and delivery of medications.
- Lead and manage referrals, verify patient demographics and medication coverage, and initiate prior authorization requests.
- Facilitate patient assistance, appeals, peer reviews, and co-pay assistance, ensuring communication with specialty patients and referral sources.
- Develop content and present clinical services to provider offices.
- Provide metrics related to prior authorization and patient funding success rates.
- Monitor patient medication adherence and provide interventions as needed.
- Maintain accurate and up-to-date patient records and documentation.
- Participate in quality improvement initiatives to enhance pharmacy services.
- Dispense medications accurately and efficiently to patients.
- Review and verify prescriptions for accuracy and completeness.
- Manage inventory to ensure adequate stock levels and compliance with regulations.
- Utilize patient assistance programs to provide financial aid to eligible patients.
- Other duties as assigned.
Requirements
- Proficiency with prescription-filling software and other computer skills [Required]
- Proficient in processing third-party claims and secondary billing [Required]
- Knowledge of Part B and Part D Medicare billing [Required]
- Knowledgeable in most major prescription insurance carrier reimbursement guidelines and eligibility for coverage by third-party payers [Required]
- Knowledge of medical terminology and a vast understanding of mathematical principles to perform pharmaceutical calculations [Required]
- Associate degree [Required]
- 5+ years working in a retail pharmacy or equivalent environment [Preferred]
- Previous experience in a managed healthcare organization, medical insurance company, pharmacy benefit management, or other healthcare-related entity [Preferred]
- Prior experience facilitating prior authorizations, patient assistance, and co-pay assistance [Preferred]
- Prior experience processing and filling prescriptions for specialty patients [Preferred]
- Registered Pharmacy Technician (RPhT) [Required]
- Certified Pharmacy Technician (CPhT) [Required]
An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement: Associate's degree OR High School Graduate and 5+ years of experience.
Pay
$20.38 - $32.60 per hour
Location
601 E Rollins St, Orlando, FL 32803
Physical Requirements
View work requirements: Physical Requirements
Background Screening
Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse.