Daily Responsibilities:
Manage and Document Clinic administered drugs including but not limited to the medication wall
and long acting injectables
The Long acting Injectables -
Manage the receipt and ordering of long acting injectables to the clinic from our specialty
pharmacy partners by following and documenting in the LAI database.
Reach out to patients on LAI to remind them of upcoming appointments and follow up
for late injections based on the time before or after the targeted treatment dates as
evidenced in the LAI data base,
Record new or discontinued prescriptions in the LAI database.
Ensure the physician administered drugs are in the clinic for the upcoming targeted
treatment windows for the day/week appointments.
Ensure the Proper stocking, management, and billing of the buy-and-bill medications
Collaborate with group purchasing organizations and specialty distributors to
access competitive pricing, negotiate favorable contracts, and secure timely
delivery of limited distribution drugs.
Utilize field reimbursement services and prior authorization support to streamline
billing and reimbursement processes, reducing administrative burdens and
ensuring timely payment.
Obtain medical prior authorizations from the patients insurance plan to ensure
the medication is covered by utilizing the appropriate billing and coding to ensure
timely reimbursement.
Coordinate with the billing department to identify claims paid at less than usual
and work with payors to ensure appropriate reimbursement, including appeals and
medical exceptions.
Create and Maintain provider/payor files for buy and bill medications.
Record daily temperature to ensure integrity of refrigerated medications
Receive and document medications received to the clinic by the partner pharmacies in the
appropriate database daily and safely secure medications.
Review and submit manufacturer copay and patient assistance applications, recording card IDs in
documentation of the actions in the EMR.
Communicate with drug manufacturers regarding the applications and verification of injection
dates etc and record information in the EMR as applicable
Communicate patient medication access issues to providers such as pharmacy lock ins so that
prescriptions can be rerouted appropriately.
Monthly audit clinic medication stock for outdated items, items for destruction and or inventory
replenishment and document accordingly in the database.
Weekly audit inventory and reorder as needed to maintain Par levels
Record the receiving of the Specialty drug prescriptions in the database base according to the
REMs and DEA requirements.
Monitor Pharmacy communication channels and take appropriate actions.
Respond to EMR messages sent by providers to reach out to patients to schedule appointments
based on their review of refill requests -
Monitor communication channels for patient response to messages sent`
Other duties as assigned
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At least 2 years experience working as a Pharmacy Coordinator and in Lost to Care.
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Knowledge of basic computer skills, Excel, Word and how to use Electronic Medical Records.
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Experience with patient centered care.
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Punctuality and impeccable attendance.
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Strong communication skills with both professionals and patients from all demographics.
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Non-judgmental approach to patient care.
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Technical skills with required office equipment.
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Patience and great attention to detail.
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Completely understand the healthcare privacy laws as outlined in HIPAA.
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LGBTQIAcultural competency.
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Ability to work collaboratively in team-based care.
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Ability to adapt to a work environment that is constantly changing and not always structured.
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Ability to work in a fast paced and, at times, exciting atmosphere.
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Maintain a professional attitude and demeanor.
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Ability to multi-task.
