Lead Insurance Verification Onboarding, Specialty

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 performing select activities related to the clinical management and refill setup of specialty patients under the supervision of a licensed pharmacist.  Activities include but are not limited to communicating with patients, caregivers, and medical staff to accurately coordinate patient deliveries for home and office patients.    Make outbound and receive inbound phone calls from patients, caregivers, and medical staff.  Perform follow up calls to patients, caregivers, and medical staff as needed and under the direction of a licensed pharmacist.   

Responsibilities

• Provide support to specialty pharmacy team, pharmacy distribution and operations including but not limited onboarding of new Specialty patients.   

• Maintain and update patient information and medication profiles, complete patient assessments and medication delivery setup under direct supervision of a licensed pharmacist.   

• Provide appropriate and accurate documentation in patient medical record.

• Accurately provide copay information to the patient and process payments.

• Obtain all information required by Accreditation standards and clinical review by a licensed pharmacist.

• Process orders shipping to a patient’s home, medical office or facility.   Competently process refills for Oncology and MS patients and hemophilia patients   

• Maintain or exceed designated quality and productions standards: consistently productivity metrics while maintaining a Rona Call Count lower than 5 per month

• Monitor productivity and prioritize orders

• Schedule/manage day to day assignments

• Provide training to new and existing staff

• Provide excellent internal and external customer service, maintaining a service orientation in all interpersonal relations that conveys a positive, professional image.

• Act as a conduit of information between specialty pharmacy, operations, and patient, caregiver or medical professional.

• Perform in accordance with system-wide competencies/behaviors.

• Perform other duties/tasks as required and assigned.

Skills and Abilities

• Takes pride in work by striving to meet quality standards

• Ability to follow through and complete all assigned tasks on schedule

• Strong customer service and interpersonal skills

• Gives high priority to client satisfaction and customer needs

• Excellent written and verbal communication

• Utilizes appropriate communication lines in relaying problems, concerns, questions, and ideas

• Ability to manage time efficiently while remaining organized

• Works well independently and in a team environment

• Maintains confidentiality when dealing with patient information

• Takes initiative to present ideas and suggestions to management

• Maintains professionalism at all times

Requirements

• High School diploma or GED

• Pharmacy technician certification is preferred

• Prior Specialty healthcare experience is preferred

• Proficiency in the Microsoft Suite

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.