CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:
Responsible for the overall case coordination for all client’s patients.
Responsibilities
Provide support to specialty pharmacy teams/clients, and their operations including but not limited to completing prior authorization documentation, scheduling medication delivery and pick-up, retrieval, and distribution of various documents, and assisting patients in obtaining financial assistance all within mandated timeframes
Providing an exceptional customer service experience each day in a phone-based environment
Perform claim adjudication and auditing duties such as prior authorizations, billing, and eligibility checks (requires outbound phone calls to patients)
Working through current case queues to problem-solve patient care issues
Serving as a liaison between the clinical pharmacists and other medical professionals on the patient’s behalf
Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to CarepathRx
Placing welcome calls to newly on-boarded patients and working to establish a trusted point of contact
Placing outbound calls to patients to create, maintain or update their medication profiles
Serve as backup support for times of higher patient call volume
Effectively assist with patient questions over the phone
Maintain complete, organized, and accurate files for all patients relating to coordination of services: case management, pharmacy, and patient delivery, and any information/data significant to the overall patient care coordination
Responsible for the initial computer input of data on all patients and prior documentation relating to case coordination. Informational data should be from the point of patient notification through verification of benefits, initiation of care, the first day of therapy follow-up, completion of services, discharge, and cessation of communication
Strict adherence to all Policies & Procedures ensuring that case coordination of patient therapy and staff involved in their respective processes are complying with stated guidelines, and accreditation standards and maintaining a current working knowledge of all areas
Identification and resolution of all case coordination complaints, concerns, or deficiencies with written documentation being given to the respective manager
Provide excellent internal and external customer service, maintaining a service orientation in all interpersonal relations that conveys a positive, professional image always
Always maintain the confidentiality of patients and their personal information
Perform other duties as directed by supervisor and manager
Skills & Abilities
Strong computer knowledge with working skills in Windows, Excel, Word, and other related programs
Good verbal and written communication skills
Comfortable working in a phone-based environment
Ability to work independently and as a team
Self-motivated and goal-oriented
Ability to utilize computer equipment, and technology and work within multiple software programs to receive medication authorizations, clarifications, and/or transfers
Excellent interpersonal skills that would allow the coordination of multiple contacts and personalities, while maintaining all efforts to advocate on behalf of patient care
Ability to demonstrate organizational skills in a fast-paced, sometimes unstructured environment
Qualifications
High school diploma or equivalent
Registered Pharmacy Technician in AL, FL, TN, MT, OH, TX, or NY
National Certified Technician License preferred (PTCB)
Willingness to become a registered Pharmacy Technician in multiple states
Minimum of 2 years of healthcare/specialty pharmacy experience
Strong clinical and medical terminology knowledge preferred
Knowledge of basic pharmacy terminology, evaluation, and pharmaceutical law
Must be flexible with work schedule
Ability to perform in a remote setting that requires sitting at a desk 90% of the time
CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.