JOB DESCRIPTION

JOB TITLE:  Specialty Care Coordinator – (Oncology)

FLSA STATUS:  non-exempt 

POSITION SUMMARY:

This position has the primary responsibility of working closely with patients and their prescribing physician to ensure they receive all of their specialty medications when needed.

This position requires superior customer service skills, the ability to build credible relationships and the ability to remain objective under stressful situations.  Applicants must possess excellent communication skills, critical thinking and problem solving techniques, and a working knowledge of the online prescription benefit adjudication process.  This position requires the management of an ongoing patient case load using organizational and follow up skills. 

ESSENTIAL ELEMENTS OF THE JOB:

·        Call center based Specialty Care Coordinator position with ongoing patient management responsibilities.

·        Places daily and monthly calls to Oncology patients in order to

o       monitor compliance/persistence of medications,

o       evaluate adverse reactions,

o       refer patients to the clinical pharmacist when necessary and as needed.

·        Makes contact with physician offices to verify new prescriptions received, refills and communicate clinical information through out each work day

·        Notifies pharmacist of relevant clinical information gathered during calls to provider or patient that may affect a patient’s disease state, medication regimen, or method of funding.

·        Enters prescription orders into HBS (Pharmacy Software Program)

·        Enters clinical data requirements into HBS and/or a disease tracking software.

·        Understands the process of insurance verification and online prescription adjudication

·        Investigates patient insurance benefits and other supplemental payor information in order to maximize prescription medication funding and minimize out of pocket patient expenses.

·        Investigates alternate funding from non-profit foundations or manufacturer sponsored compassionate care programs such as the Chronic Disease Fund, the Healthwell Foundation and enrolls patients when appropriate.

·        Constant communication with health care providers, pharmacy benefit managers and patients in order to ensure the timely delivery of medications

·        Coordinates medication ship date between patient or provider and our product distribution team

·        Building credible working relationship Clinical Specialists, National Sales Reps, Product Fulfillment Supervisor

ESSENTIAL SKILLS AND EXPERIENCE:

·        Certified and licensed pharmacy technician preferred

·        2+ years in a medical office or medical specialty office environment is a plus.

·        2 + years in a high touch Customer Service environment is required.

·        Superior Customer Service and Communication skills are required.

·        Ability to work well under pressure in a fast paced working environment

·        Ability to prioritize with little supervision, multi-mask and meet deadlines

·        Strong data entry skills

·        Experience with third party prescription insurance billing including Medicare is plus.

·        Ability to work effectively and efficiently as individual or in a team environment

·        Bilingual (English/Spanish) is a plus.

·        Excellent attendance and punctuality is expected.

TYPICAL WORK CONDITIONS:

·        Work station provided at mail order facility to complete assigned tasks