Pharmacy Coordinator
PharmacyCoordinator-SpecialtyPharmacy
Neural analysis suggests this role is
optimal for Mid candidates.
“Pharmacy Coordinator - Specialty Pharmacy at Pharmacy Coordinator. Skills: Specialty pharmacy, Insurance verification, Prior authorization. Provide specialty pharmacy intake. Perform insurance verification”
What You'll Achieve.
Ensure required documentation, coverage determination, and financial assistance processes are completed to support timely initiation and continuation of therapy; Support audit, compliance, and revenue monitoring
Industry & Context.
Problem-solving
What They're Looking For.
Must Have
Minimum of 3 years of pharmacy or healthcare revenue cycle experience, Virginia Board of Pharmacy registration, Certified Pharmacy Technician (CPhT)
What You'll Do.
Provide specialty pharmacy intake
Perform insurance verification
Manage prior authorizations
Support reimbursement
Enter and maintain data
Communicate with patients
Conduct financial investigations
Submit prior authorization requests
Track approval status
Identify financial assistance needs
Facilitate enrollment in assistance programs
Obtain clinical documentation
Assist patients with billing questions
Review departmental reports
Identify workflow efficiencies
Comply with requirements
How You'll Work.
Team & Collaboration
Works collaboratively with patients, pharmacists, providers, and clinical teams; Communicates with patients, providers, pharmacists, and internal teams; Collaborates with pharmacists and providers
Communication Scope
Communicates with patients throughout onboarding and therapy to obtain required information, explain processes, and provide status updates; Communicates approvals, denials, delays, and next steps to patients, providers, pharmacists, and internal teams; Responds to incoming phone calls and electronic communications and resolves customer inquiries and concerns
Full Job Description
## **Employment Status:** Full time ## **Shift:** Any Day, Any Shift (United States of America) ## **Facility:** 4336 Electric Rd - Roanoke ## **Requisition Number:** R160100 Pharmacy Coordinator - Specialty Pharmacy (Open) # **How You’ll Help Transform Healthcare:** The Specialty Pharmacy Coordinator provides specialty pharmacy intake, insurance verification, prior authorization, and reimbursement support for complex and high-cost medications. This role works collaboratively with patients, pharmacists, providers, and clinical teams to ensure required documentation, coverage determination, and financial assistance processes are completed to support timely initiation and continuation of therapy. The Coordinator independently manages assigned patient cases while delivering high-quality customer service and maintaining accurate documentation within specialty pharmacy systems. The Specialty Pharmacy Coordinator * Provides initial patient onboarding and account setup for specialty pharmacy services, including intake of referrals, therapy changes, and service requests. * Enters, updates, and maintains accurate patient, insurance, benefits, and authorization data in pharmacy and care management systems. * Communicates with patients throughout onboarding and therapy to obtain required information, explain processes, and provide status updates. * Conducts insurance, benefits, and financial investigations to determine coverage, prior authorization, and reimbursement requirements. * Completes initial and renewal prior authorization submissions and tracks approval status. * Communicates approvals, denials, delays, and next steps to patients, providers, pharmacists, and internal teams. * Identifies patient financial assistance needs and facilitates enrollment in copay, manufacturer, or patient assistance programs. * Collaborates with pharmacists and providers to obtain clinical documentation and letters of medical necessity. * Assists patients with billing questions, outstanding
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