Overview:
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
While you're busy impacting the healthcare industry, we'll take care of you with benefits that include:
Medical/Dental/Vision, FSA, Dependent Care Spending Account, Life Insurance, Short and Long-term Disability, 401k match, Paid Time Off, Wellness Program, Tuition Reimbursement, Accidental Insurance, Critical Illness Insurance, Identity Theft Protection, Employee Assistance Program, and more!
This represents 1 of 7 available positions.
Patient and provider services: Exemplifies excellent customer service during interactions with patients employees providers and others to build the Specialty Pharmacy program. Represent on-site/off-site Specialty Pharmacy seamlessly answer patient and provider staff questions about the service insurance issues etc. Work with the referring provider and/or clinic staff along with the patient care management program to ensure that assigned Specialty Pharmacy patients receive the medications needed at the appropriate time. Communicate with patients in-person and over the phone through inbound/outbound calls to ensure adherence with medications through prescription refills and adherence check-ins. Monitor patient charts and profiles in an effort to meet Specialty Pharmacy therapy needs. Influence and motivate others to coordinate projects resources and people to achieve the implementation of Specialty Pharmacy services.
Medication management: Review medication regimen with pharmacists to determine which medications need to be dispensed on a timely schedule. Stays informed of medications available within the pharmacy and in the industry in relation to their assigned disease state(s). Participate in clinical training for Specialty disease states.
Prescription management: Act as an insurance specialist by expediting the prescription filling process (entering patient demographics allergies insurance information); obtain benefit information verify patient insurance eligibility and level of coverage; understand Medicare/Medicaid regulations and billing guidelines as they pertain to Specialty Pharmacy patient benefits; understand billing primary secondary and tertiary insurance claims. Process medication orders confirming that they are billed to all third parties correctly. Initiate and assist with the Prior Authorization and Patient Prescription Financial Assistance processes within the assigned therapy classes. Work with Patient Financial Advocates regarding ongoing coverage levels/issues; provide education and training as necessary or instructed. Coordinate medication deliveries/pick-ups with the dispensing pharmacy after patient communication to include but not limited to: completed delivery slip storage/shipping needs ancillary supplies needed (Sharps band-aids etc) etc.
Specialty pharmacy operations: Assist in marketing efforts to enhance business increase revenue and improve patient retention by understanding Specialty Pharmacy business trends marketing materials and business goals. Inform pharmacy leaders about changes in the marketplace and physician patterns. Assist Pharmacy Manager with tasks to improve workflow and communication between patient specialty clinic and Specialty Pharmacy teams. Actively participate in process improvement standards. Establishes annual goals regarding clinical and community outreach; collaborates with other/staff team members in the implementation of outreach plan goals/objectives; implements the outreach plan to referring providers and clinics; monitors progress towards achievement of outreach plan through quarterly improvement assessments and modifying plan as appropriate. Is present at provider and community outreach events as appropriate.
Qualifications:
Motive
appen
PicPay
Makro PRO
SalesLoft
