Riverside Health System

Healthcare

SpecialtyMedicationCoordinator

$58–87k ~AI est. Newport News, Virginia, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Specialty Medication Coordinator at Riverside Health System. Skills: Prior authorizations, Patient assistance, Medication management. Process referrals. Submit clinical supporting documentation”

Industry & Context.

Healthcare

What They're Looking For.

Must Have

Program Graduate, Licensed Practical Nurse, Program Graduate, Certified Medical Assistant, 3-4 years Experience as a Pharmacy Technician, LPN or CMA, Registered Pharmacy Technician - Virginia Department of Health Professions Upon Hire, Pharmacy Technician Certification Board (PTCB) - Pharmacy Technician Certification Board (PTCB) PTCB or ExCPT Upon Hire, Licensed Practical Nurse (LPN) - Virginia Department of Health Professions Upon Hire, Certified Medical Assistant (CMA) - American Association of Medical Assistants Upon Hire

Nice to Have

Program Graduate, Pharmacy Technician Training Program, 1 year Experience obtaining and managing medication prior authorization, 1 year Prior Experience obtaining and managing patient assistance program applications, Advanced certification in specialty pharmacy field

What You'll Do.

Submit clinical supporting documentation

Expedite prior authorization

Expedite patient assistance processes

Assist in obtaining prior authorizations

Assist in obtaining patient assistance medications

Assist in obtaining financial assistance

Assist with medical necessity documentation

Perform appropriate follow-up

Follow prior authorization workflows

Follow patient assistance workflows

Follow policies and procedures

Perform tasks accurately

Perform tasks efficiently

Respond to key stakeholders

Document intake referrals

Document prior authorization information

Maintain up to date knowledge

Track and manage patient refills

Ensure timely prescription

Ensure timely infusion service

Work on prior authorization enrollments

Work on patient assistance enrollments

Secure patients’ demographic information

Secure patients’ medical information

Comply with HIPAA policies

Assist management with inspections

Assist management with audits

Assist management with reports

Assist management with training

Ensure compliance with standards

Provide quality service

How You'll Work.

Team & Collaboration

Collaborate with other departments

Communication Scope

Written communication; Verbal communication

Full Job Description

Newport News, Virginia **Overview** A Specialty Medication Coordinator is responsible for performing tasks related to the management of third-party billing or patient financial assistance for patients within the health system. A Specialty Medication Coordinator assists with managing and processing high dollar specialty medications (e.g. oncology, infectious disease, multiple sclerosis) and may be responsible for benefits investigation, obtaining prior authorizations, copay/foundation assistance, drug replacement services, and patient financial counseling. Additional activities may include patient onboarding, order entry, financial tracking, patient care coordination, medication ordering/tracking, cold chain distribution and shipping activities. **What you will do** * Timely process of referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes. Collaborate with other departments to assist in obtaining prior authorizations, patient assistance medications or financial assistance. Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed. Follows prior authorization and/or patient assistance workflows and policies/procedures. * Demonstrates the ability to work independently, meet deadlines and possesses excellent time management skills. Perform tasks accurately and efficiently. Possesses excellent interpersonal, customer service and communication skills (both written and verbal); timely responses to key stakeholders. * Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure/workflow. Completes timely documentation within the required tracking systems and retrieves necessary documentation and maintains up to date knowledge of the pharmaceutical companies’ patient a

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