Position Summary: The Support Services Specialist provides prescription support services for patients to assure effective and efficient delivery of health care. This position requires strong computer skills, a high level of attention to detail, accurate documentation skills, strong organizational and problem solving skills, a general knowledge of hospital and prescription billing practices, and excellent customer services skills. This position will work closely with other staff within the hospital to support specialty pharmacy medication adherence management (management of patient refill coordination), complete routine pharmacy billing activities, and assist with shipping issues.
Patient Adherence Management
Manage refill services for select patient populations in accordance with department policies and procedures.
Communicate via phone, electronic means, and in person with patients, pharmacist, providers and other health care team members regarding patient adherence issues.
Monitor and manage inventory activities related to patient prescription needs.
Provide accurate documentation of all activities as required by accrediting agencies, payers and/or administration.
Enrollment of patients in specialty pharmacy services including:
Introducing new and prospective patients to Specialty Pharmacy Services.
Communication with patient, pharmacist and/or provider to gather relevant demographic information, shipping and contact preferences.
Provision of appropriate enrollment and contact information.
Provides highest customer service experience for patients and providers.
Understand the importance of effective business communication and maintaining professionalism in difficult situations.
Participate in orientation of pharmacy technicians, pharmacists, pharmacy residents and others within the department on pharmacy practices.
Communicate workflow improvement suggestions to both coworkers and supervisors.
Provide assistance with the resolution of shipment/delivery issues.
Communicate with providers, payors, patients, co-workers, supervisors and departments to resolve complex insurance issues.
Provide assistance to patients and other team members with billing and claim resolution issues
Provide documentation of all activities as required by accrediting agencies, payers and/or administration, including:
Workload statistics (enrolled/active patients, mail outs, etc)
Assists with evaluation and implementation of new policy and procedures
Participate in piloting new workflows/procedures
Assist with preparing training and orientation materials for new procedures
Assist with training and orientation of staff to new procedures
Assist with specialty pharmacy service equipment modifications, reorganization, and additions to implement new policy and procedure
Other duties as assigned
Application Process: Please attach a cover letter and resume as part of the application process. Job openings are posted for a minimum of 14 calendar days. Applications will be accepted until 11:59 PM on the posting end date. T his job may be removed from posting and filled any time after the minimum posting period has ended. For questions or additional information, please contact Jenna Lueth at firstname.lastname@example.org.
Successful candidate will be subject to a criminal background check.
Completion of a Bachelor's degree or equivalent combination of education and experience.
Successful completion of the pharmacy technician certification exam within nine months of the start of employment.
Previous experience (typically 6-12 months) in support or customer service.
Experience and proficiency with computer software applications (i.e. Microsoft Office Suite - Word, Excel, Outlook, PowerPoint) or comparable programs.
Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
Self-motivated with initiative to seek out additional responsibilities and tasks along with generating suggestions for improving workflow.
Effective verbal and written communication skills, active listening skills and the ability to maintain professionalism while handling difficult situations.
Demonstrate effective problem solving abilities and meets challenges with resourcefulness.
Familiarity with medical terminology.
Experience working in a complex hospital system is highly desirable.
Experience working in a collaborative team environment is desirable.
Pharmacy experience is desirable.
Knowledge of healthcare billing, experience working with insurance and/or federal and state assistance programs is desirable.
Experience working with multiple technology platforms (i.e. Epic, GE) is desirable.
Knowledge and understanding of the Health Insurance Portability and Accountability Act (HIPAA) is desirable.