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Specialty Pharmacy Care Coordinator
Baptist Health System KY & INSpecialty Pharmacy Care Coordinator supporting Baptist Health patients with specialty medication access. Managing benefits investigations, prior authorizations, billing, assistance programs, and refill coordination.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in benefit investigations, prior authorization processes, and patient outreach coordination. Proficient in managing insurance information and utilizing Electronic Health Records for effective communication and documentation.
Highest-signal resume keywords
Pharmacy Technician ExperiencePrior Authorization ProcessesThird-Party BillingEpic Electronic Medical RecordPatient Outreach Coordination
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit InvestigationsInsurance Information ManagementMedication Concerns TriagePatient Assistance ProgramsQuality Improvement Support
Soft Skills
Effective CommunicationCollaboration with Healthcare ProfessionalsOrganizational Skills
Tools & Technologies
Electronic Health Record
Certifications & Qualifications
Registration with Kentucky Board of Pharmacy
Industry Keywords
Payer FormulariesReimbursementFinancial CounselingMedical TerminologyClinical Questions
About the role
Key responsibilities & impact- Complete benefit investigations to verify patient eligibility for prescribed specialty medications
- Maintain current knowledge of payer formularies and reimbursement
- Support third-party prior authorization processes and obtain appropriate overrides
- Maintain accurate insurance information and monitor prior authorization renewal needs
- Triage patient or caregiver clinical questions, medication concerns, and insurance denials to the pharmacist
- Use the Electronic Health Record to maintain communication and accurate documentation
- Represent the pharmacy effectively throughout the organization
- Serve as the primary patient contact for specialty medication needs
- Liaise with physicians, advanced practice clinicians, pharmacists, nurses, and social workers
- Facilitate enrollment in patient assistance programs and gather documentation
- Organize daily outreach tasks for prescription refills, delivery coordination, and claim processing
- Coordinate patient outreach during clinic visits or via telephone follow-up
- Track clinic intervention outcomes and support quality improvement goals
Requirements
What you’ll need- High school diploma or equivalent
- Registration with Kentucky Board of Pharmacy upon hire date
- Pharmacy technician experience required
- Prior experience with third-party billing, financial counseling, or medical terminology and coding preferred
- Prior experience with Epic electronic medical record preferred
- Subject to post-offer, pre-employment drug testing
Benefits
Comp & perks- Engagement in personal development to stay updated with pharmacy trends related to the role and practice setting
- Copay assistance options and patient assistance programs to maximize savings for patients
- Equal Employment Opportunity
- Drug-free workplace
- Pre-employment drug testing