Remote Patient Care Coordinator - Specialty Pharmacy Management Services
Posted 2025-04-06CarepathRx 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, assisting patients in obtaining financial assistance all with-in mandated timeframes
 Providing an exceptional customer service experience each day in a phone based environment
 Perform tasks such as prior authorizations, billing and eligibility checks (requires outbound phone calls to patients)
 Working through current case queues to problem solve for patient logistic issues pertaining to deliveries, change in demographics and/or insurance companies
 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 work to establish a trusted point of contact
 Placing outbound calls to patients to create, maintain or update patient and provider demographics (leagal name(s), address, phone/fax numbers, emails, etc) profiles (nothing clinical in nature)
 Serve as backup support for times of higher patient call volume
 Effectively assist with patient non-clinical related questions over the phone. If such clinical questions arise, the PCC will transfer the phone call to a licensed pharmacist
 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 case coordination
 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, accreditation standards and maintaining current working knowledge of all areas
 Identification of 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 non clinical related 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, 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 patient care
 Ability to demonstrate organizational skills in a fast paced, sometimes unstructured environment
Qualifications
 High school diploma or equivalent
 Registered Pharmacy Technician in the State of Alabama or applicable state required
 Certification as a Pharmacy Technician in the State of Alabama or applicable state is preferred
 National Certified Technician License preferred (PTCB)
 Willingness to become a registered Pharmacy Technician in multiple states
 Minimum of 2 years or 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 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.
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