Infusion Pharmacy Intake Coordinator - FT - Days - Memorial Specialty Pharmacy
Infusion Pharmacy Intake Coordinator - FT - Days - Memorial Specialty Pharmacy
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1 Vacancy
Job Description
Location:
Miramar FloridaAt Memorial Healthcare System (MHS) our ever-growing pharmacy career options present unlimited opportunities to individuals passionate about advancing pharmacy practice. As a nationally recognized and respected leader for providing A-rated patient care and safety MHS prides itself on being able to grow and adapt to the rapidly evolving needs of our community and healthcare industry.
Summary:
The Pharmacy Intake Coordinator plays a critical and complex role at the intersection of clinical pharmacy operations and health benefit coordination. This position is responsible for managing the intake process for specialty and traditional parenteral therapies ensuring the timely collection and validation of clinical information patient eligibility benefit verification and prior authorization requirements. It involves a strong understanding of benefit design including formulary status plan coverage copay assistance programs and 340B program eligibility. The role serves as a liaison between providers patients pharmacy staff and payers navigating a dynamic environment that requires attention to detail medical knowledge and strong communication skills.Responsibilities:
Notifies patients/families regarding insurance coverage and payment referral process iscompleted prior to submitting referral to pharmacy for medication dispense and and coordinates with home healthagenciesfor patient acceptance including submission of service orders and other pertinent information required by home and inputs medical information into Electronic Medical Records (EMR) applications included but not limited to: diagnosis medical history medication history allergies with prior authorization process for pharmacy and medical claims. Performs test claim submissions for drug supply items and durable medical equipment (DME).Reviews and evaluate new referral documents for appropriateness in prescriber licensure for referral and update EMR for billing all required paperwork and documentation required for referral acceptance according to department policies.Competencies:
ACCOUNTABILITY CLINICAL DOCUMENTATION REVIEW CUSTOMER SERVICE DOCUMENTATION EFFECTIVE COMMUNICATION MEDICAL TERMINOLOGY (1) RESPONDING TO CHANGE STANDARDS OF BEHAVIOR VERIFYING INSURANCEEducation and Certification Requirements:
High School Diploma or Equivalent (Required)ARMA Certified Medical Assistant (ARMA) - American Registry of Medical Assistants (ARMA) Certified Pharmacy Technician (CPHT) - Pharmacy Technician Certification Board (PTCB) Licensed Practical Nurse (PN LICENSE) - State of Florida (FL)Additional Job Information:
Complexity of Work: The role requires the ability to multitask and manage time efficiently with minimum supervision. Strong communication organizational problem-solving and interpersonal -depth understanding of third-party insurance billing practices as well as federal and state regulations with regard to billing and reimbursement. Knowledge of medical terminology as it relates to infusion therapy and durable medical equipment is strongly Work Experience: Minimum of two (2) years of experience in a healthcare setting involving patient intake insurance verification or care coordination preferably in home health infusion services specialty pharmacy or a similar Information: Must be a Certified Medical Assistant LPN or Certified Pharmacy TechnicianWorking Conditions and Physical Requirements:
- Keyboard Entry 80%
- Lifting or Carrying 0 - 25 lbs Non-Patient 20%
- Lifting or Carrying 2501 lbs - 75 lbs Non-Patient 20%
- Pushing or Pulling 0 - 25 lbs Non-Patient 20%
- Reaching 20%
- Sitting 80%
- Computer Monitor 80%
Shift:
DaysDisclaimer: This job description is not intended nor should it be construed to be an exhaustive list of all responsibilities skills efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits hires and promotes qualified candidates for employment opportunities without regard to race color age religion gender gender identity or expression sexual orientation national origin veteran status disability genetic information or any factor prohibited by law.
We are proud to offer Veterans Preference to former military reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer pre-placement assessment including drug testing.
If you need reasonable accommodation during the application process please call (M-F 8am-5pm) or email
Required Experience:
IC
Employment Type
Full-Time
