Pharmacy Patient Care Coordinator

Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you.

What makes us different? We offer our employees the following:

1 Health Wellness day per quarter

Parental Leave

Free parking at our locations/bus line accessibility

Competitive Salary & Benefits

Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program)

100% allotted for benefit elections for employees, 50% allotted for benefit elections for employee's spouse/dependent

Credit Union

*Proof of Covid-19 vaccination is required*

Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes.

Job Summary :

Under supervision of Pharmacist in Charge or Director of Pharmacy as applicable, serves as the primary point of contact for PIHC Pharmacy for the assigned PIHC Clinic Team. Provides outstanding customer service and professional communication skills for both external and internal relations regarding patient access to medication services including, but not limited to: benefits investigation, prior authorization, appeals, copay assistance, refills, and all other aspects of the Patient Medication Journey.

This position description should not be interpreted as all inclusive. It is intended to identify the major responsibilities and requirements of this position. The incumbents may be requested to perform job-related responsibilities and tasks other than those stated in this position description.

ESSENTIAL FUNCTIONS:

Duties and Responsibilities

Serve as PIHC Pharmacy liaison to assigned PIHC Clinic team to field questions related to patient medication access from patient, provider, or others involved in patients medication access, establish self as primary internal and external liaison and subject matter expert for medication assistance through educational trainings

Screen, apply and coordinate application of medication assistance opportunities for patients

Enroll and coordinate necessary paperwork for manufacturer assistance programs, disease- based assistance programs, identifying co-pay assistance opportunities for underinsured patients and use of charity funds as appropriate, following PIHC Pharmacys Policies and Procedures

Assists patient and prescribers with the Prior Authorization process

Coordinates billing and obtains cost approval

Troubleshoot rejected claims and eligibility investigation, thoroughly investigate status of claims, and works with processors on billing issues or retroactive billing as need, and ensure expedite claims processing

Proactively identify problematic third-party payor scenarios to minimize billing rejections, report trends or issues related to billing and reimbursement

Support agency wide efforts to ensure access to prescription medications

Coordinate documentation to promote continuity of treatments, improve access to medications, decrease financial strain and serve as a resource for medication assistance-related questions

Support medication compliance program by contacting patients when needed and confirming refills needed as well as ensuring patient information is up-to-date and accurate

Contribute to policy changes, goal setting or making recommendations for improvements

Attend and conduct meetings as deemed appropriate by pharmacy management

Provides quality customer service to patients and other healthcare providers, with focus on professional discretion and HIPAA regulations

Performs all tasks in a safe manner that is consistent with corporate policies as well as state and federal laws

May be assigned additional process or quality improvement projects based on departmental need.

Minimum Qualifications

Licensed pharmacy technician in good standing with the Georgia Board of Pharmacy

2-4 years of pharmacy technician experience in a retail setting with experience with pharmacy insurance navigation and various medication assistance programs

Preferred Qualifications or Experience:

Bilingual (English/Spanish) Preferred

Experience working in HIV and/or Specialty Pharmacy

Experience working in a 340B Pharmacy and/or 340B Contract Pharmacy

Previous experience with Cerner EMR

Past experience with Pioneer Rx Fill Software