[Hiring] Specialty Pharmacy Liaison @Bon Secours Mercy Health

Role Description

The Specialty Pharmacy Liaison is responsible for supporting standardization and optimization of specialty pharmacy services across Bon Secours Mercy Health. The goal for the Specialty Pharmacy Liaison is to ensure proper processing and problem solving of specialty medications and other medications supported by pharmacy and to provide patients and provider offices a high level of service.

• Provide excellent customer service via phone and occasional direct patient contact.
• Receive patient prescriptions and review the medication list with a patient.
• Answer phones and triage phone calls to the pharmacist as necessary.
• Help maintain the pharmacy in proper order.
• Facilitate third party billing and provide comprehensive financial advocacy to help lower drug costs.
• Work proactively with patients, providers, and the specialty pharmacy team.

Qualifications

• Applicable state board-certified Pharmacy Technician License (required)
• National Certified Pharmacy Technician or Pharmacy Technician License (required)
• High School/GED (required)
• Bachelor’s Degree, Graduate of Pharmacy Technician Course (preferred)
• 1 year of experience in provider clinic, specialty and/or retail pharmacy (required)
• EPIC Electronic Health Record (preferred)

Requirements

• Process prescription information in the computer system.
• Assist in complete and accurate billing of third-party payer plans.
• Ensure accurate and safe processing of prescription information.
• Review patient profile for accuracy.
• Assist customers with prescriptions and/or other products.
• Complete specialty pharmacy orders to meet customer needs.
• Demonstrate ability to respond to customer/co-worker questions or concerns in an appropriate and customer-focused manner.
• Assist in the preparation and delivery of medications and supplies as assigned.
• Receive prescriptions from patients; gather customer information per department policy.
• Prepare prescription drug therapy for patients in an accurate and timely fashion.
• Document appropriately and maintain updated patient charts.
• Ensure refill dates are documented appropriately to prevent patients from missing a dose.
• Assist the pharmacist in identifying patient problems and issues.
• Access, maintain, and update patient accounts and charts.
• Assist with obtaining prior authorizations.
• Assist the specialty team and provider’s office in appealing denials, where appropriate.
• Work closely with office staff to ensure refill authorizations are proactively obtained.
• Coordinate and ensure appropriate medication delivery.
• Complete order taking, verifying proper information.
• Listen to customer concerns.
• Complete the work of a pharmacy technician as required.
• Answer phone calls, faxes, and computer requests in a timely manner.
• Cross train and cover all department technician areas assigned.
• Train other staff members and students as needed.
• Assist in maintenance of the pharmacy to reflect a clean and well-stocked condition daily.
• Provide initial patient set up to establish account with the specialty pharmacy.
• Verify patient insurance coverage.
• Assist patients in working with insurance companies.
• Research to optimize patient-specific and drug-specific copay assistance.
• Provide recommendations on additional funding sources.
• Contact insurance carriers, benefits offices, and patients to determine new and ongoing coverage levels.
• Verify insurance information and level of coverage.
• Inform patient of pharmacy benefits coverage.
• Assist patient with the specialty pharmacy process for non-participating pharmacy.
• Plan and schedule patient deliveries with respect to efficiency, time, priority, product specific shipping needs, and cost effectiveness.
• Communicate with internal departments and external specialty pharmacies to ensure customer needs are met.
• Evaluate delivery requirements and ensure timely and accurate delivery.
• Proactively communicate with patients when there are delivery delays.
• Determine best method of delivery with respect to location and time constraints.
• Coordinate the receipt of initial shipments.
• Adhere to organizational rules, regulations, and policies.
• Demonstrate commitment to customers and fellow employees.
• Demonstrate commitment to Bon Secours Mercy Health by living the values of dignity, integrity, service, and compassion.

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible).
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources, and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.
• Benefits may vary based on the market and employment status.