Job Purpose:
Provides integrated off-site support to patients, pharmacists, and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services.
Job Duties:
- Provide “legendary” care to hospital patients by providing a full suite of custom medication management services.
- An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support.
- Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care.
- Handle all medication needs of patients.
- Grow the specialty pharmacies patient population by strictly adhering to Shields’ programs and processes with enthusiasm and purpose.
- Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider.
- Review the patients need for financial assistance and secure financial assistance when needed and available.
- Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required.
- Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups, refill prescription.
- Secure prescription renewals.
- Communicate directly with patients to assist them in the awareness of their medications
- Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication.
- Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids.
- Answer, resolve and triage inbound inquiries.
- Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up.
- Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
- Actively participate in process improvement initiatives.
- Protect organization's value by keeping information confidential.
- Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations.
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