Responsible for completing the Oncology New Admission Assessment and coordinating the Financial Assistance process.
SCOPE OF ROLE AND RESPONSIBILITIES:
These coordinators are responsible for process new Oncology admissions and completing the process to include coordinating financial assistance and completing the new admission assessments and making the referrals ready.
Taking inbound calls from new patients ready to schedule their first order.
Working out of List A to find reach out to new patients to assist in finding financial assistance where requested.
Achieve monthly call calibration meeting metrics of 95 or better.
Communicate via phone, and/or email with patients, physicians, payers, to provide them necessary information regarding patient delivery or delay of medication delivery.
Responsible for documenting all communication regarding patient treatment and/or physician office in patient medical record.
Assess patients therapy compliance and report non-compliance of treatment to pharmacist and physician.
Document ADR/Adherence occurrences and escalating all clinical calls to appropriate clinician.
Attend weekly team meetings to ensure compliance to company procedures.
Attend medical in-services presented by clinical team.
Work directly with patients to negotiate copayment arrangements.
Retrieve method of payment from patient for co pay and notate appropriate systems accordingly.
Understand and help coordinate assistance via Pharmaceutical Manufacturer programs and /or foundations for patients with little coverage, no coverage or those that we cannot offer internal assistance by referring them to the manufacturer.
Stay abreast and adhere to Federal, State, and contractual regulations regarding co pay assistance.
Act as the liaison between Billing, and Collection departments to assist in resolving financial assistance related to prescription refills.
Update patient information and software systems to accurately reflect the outcome of negotiations.
Respond in a timely manner to all assistance inquiries by patients, and other departments.
Stay updated with foundation and manufacturer programs that relate to the disease classes that we service.
Attend departmental and other meetings as scheduled.
Prepare financial reports as requested and submit to appropriate Manager.
Create and maintain tracking programs for reporting financial assistance as well as manufacturer assistance transfers as directed.
Update sales personnel as to assistance resolutions allowing them to update MD offices.
Able to work a late shift through 10:00 PM.
Other duties as defined by Manager.
QUALIFICATIONS & ABILITIES:
Three years of healthcare experience
Three years of Verification and/or financials, preferably in a Specialty Pharmacy.
Must have excellent negotiation skills along with a caring, compassionate attitude.
Must have the ability to work cooperatively and be a liaison between departments when needed.
Must have excellent verbal and written communication skills.
Must have a professional image.
Knowledge of medical terminology.
Good communication skills.
Ability to work cooperatively.
Ability to handle challenging customers in a professional manner.
Ability to learn quickly, solve problems and make decisions to assist our clients.
Ability to adhere to C.A.R.T. principles: Competence, Accountability, Respect, Trust.
REQUIRED EDUCATION/TRAINING AND/OR PROFESSIONAL EXPERIENCE:
A High School diploma is required.
Preferred 2 plus years of Specialty pharmacy experience.
Preferred 2 years of College.
Basic Math skills.
Understanding of Insurance coverage gaps.
EXPECTED PROFESSIONAL COMPETENCIES:
Use of personal computers.
Word processing and electronic spreadsheets.
Ability to research disease states online.
Reports to Manager of Patient Care Services
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
Location: Orlando, Florida
BioPlus is an Equal Opportunity Employer
Bioplus Specialty Pharmacy