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Memorial Hermann Health System

Home Infusion Pharmacy Prescription Coordinator- Intake, FT

Katy, Texas

Overview

Welcome to Memorial Hermann where each of our more than 27,000 employees and 6,700 affiliated physicians share a commitment to helping one another, our patients and our communities. Here, you’ll work alongside the best professionals in the business with the goal of providing the best care possible. We offer an employment experience like no other, and we’ve proudly served this community for more than 110 years. At Memorial Hermann, the health of our community is always at the center of what we do.

  • Job Type: Full-Time, Part-Time, PRN
  • Job Level: Mid
  • Travel: No
  • Glassdoor Reviews and Company Rating Glassdoor Reviews and Company Rating

SUCCESS PROFILE

What makes someone successful at Memorial Hermann?
Check out the top traits we're looking for and see if you have the right mix.

  • Adaptable
  • Collaborative
  • Enthusiastic
  • Flexible
  • Focused
  • Multi-tasker

Quote

You have to love what you do. Coming to work each day knowing that you’re going to make a difference in someone’s life through even the smallest act is what keeps me coming back.

– Amanda J., Patient Care Technician

TOTAL REWARDS

  • Health Insurance

  • Retirement Plan

  • Paid time off

  • Certification reimbursement

  • Tuition reimbursement

  • Student Loan Repayment

JOB DESCRIPTION

Title Home Infusion Pharmacy Prescription Coordinator- Intake, FT Location 21501 Park Row Drive, Katy, TX 77449 Category Pharmacy Type Full time Requisition 100115790 Date posted 10/29/2021

At Memorial Hermann, we’re about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.

Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.

Job Summary

The Specialty Prescription Coordinator is responsible for prescription order entry, insurance verification, adjudication of claims, completing prior authorization process and coordination of pharmacy financial assistance. In addition, this role provides customer service as a resourceful point of contact for patients and providers by reviewing patient profiles, scheduling new prescription and refill deliveries, and collecting key clinical information.

Job Description

Shift M-F 9-6p rotating weekends/on call

Minimum Qualifications

Education: High school diploma or GED

Licenses/ Certifications: Active pharmacy technician license in the State of Texas

Experience / Knowledge / Skills:

  • Three (3) years experience in specialty, retail, mail order, or hospital pharmacy
  • Two (2) years experience in insurance verification, benefits, and eligibility investigations
  • Demonstrated attention to detail in completing tasks and communication with patients and healthcare providers on the phone
  • Ability to efficiently complete multiple daily work assignments while operating independently
  • Ability to work cross-functionally to solve problems and improve quality and service
  • Knowledge of medical and pharmaceutical terminology and pharmaceutical patient assistance programs
  • Demonstrated experience in customer service with strong interpersonal and communication skills
  • Functional skills with the Microsoft Office Suite of products (Outlook, Excel, Word, Powerpoint)
  • Experience in specialty pharmacy or pharmacy benefit management strongly preferred
  • Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

Principal Accountabilities

  • Enters prescriptions and processes claims accurately, for new/refill prescriptions. 
  • Clarifies prescription orders with pharmacist and/or clinician as appropriate.
  • Conducts insurance benefit investigation to obtain patient’s current eligibility and coverage information; communicates with patient and caregiver and/or physician office regarding insurance investigation and patient financial responsibility.
  • Troubleshoot and resolve billing rejections and subsequently rebill claims to appropriate carrier for all insurance plans.
  • Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate.
  • Confirms and processes payment information and assists patients with appropriate forms of pharmacy financial assistance, when appropriate.
  • Provides customer service to patients by conducting inbound and outbound calls to schedule delivery of medications. Tracks packages to ensure patient receives medication in a timely manner.
  • Collects clinical information essential for patient management; notifies clinical staff with any patient side effects and/or requests from the patient or caregiver; provides status updates to physician offices when appropriate; notifies and communicates instructions to patients in the event of a medication recall.
  • Assists with process of prescription and payer audits in accordance with company policy. 
  • Completes and maintains all required documentation in pharmacy information systems and the patient’s record.
  • Communicates with various pharmacy team members as needed to coordinate timely prescription dispensing and reports errors, omissions, or incidents to pharmacist. Works proactively to solve issues that may arise.
  • Participates in staff meetings and helps with special projects.
  • Maintains productivity rates and meets quality expectations determined by management. 
  • Complies with all regulatory requirements, including HIPAA/HITECH.
  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
  • Other duties as assigned.
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