You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Care Coordinator who will play a crucial role in providing excellent patient support, particularly for individuals with complex medical conditions requiring specialty medications. This position serves as the primary point of contact for patients, healthcare providers, and insurance companies, ensuring clear communication and effective coordination of services, thereby directly impacting patient care.
Key Responsibilities
- Help patients navigate the complex landscape of specialty pharmacy services, ensuring they understand the steps required to receive their medications.
- Address patient inquiries professionally and empathetically, providing accurate information and directing calls to the appropriate departments when necessary.
- Offer resources to patients for additional support (financial assistance, emotional support, etc.) through relevant programs and third-party vendors.
- Enter prescription data, request new prescriptions, and obtain clarifications from prescribers as supervised by a pharmacist.
- Work with patients, prescribers, and insurance companies to facilitate the timely and efficient approval and delivery of specialty medications.
- Coordinate with healthcare providers and partner pharmacies to ensure smooth transitions in care.
- Maintain accurate records in the pharmacy management software to track and document patient interactions, medication status, insurance approvals, related issues, and updates.
- Ensure all patient information is handled confidentially and in compliance with HIPAA regulations.
- Provide technical support for any pharmacy-related inquiries, including navigating patient portals or troubleshooting issues with the pharmacy system.
- Work closely with pharmacy staff, clinical teams, and external partners to resolve patient issues and improve overall patient care and satisfaction.
- Participate in team meetings to provide feedback, suggest improvements, and stay informed about new medications, programs, and policies.
Qualifications
- Certified Pharmacy Technician (CPhT) in the state of Illinois.
- Minimum of 2 years of experience in a pharmacy setting, healthcare call center, or patient support role.
- Proficient with MS Excel, Word, and Outlook.
- Ability to work scheduled hours, shifts may vary based on department needs.
- Bachelor's degree or equivalent preferred.
- Previous Specialty Pharmacy experience preferred.
- Experience working for a start-up company, pharmacy, and/or PBM preferred.
- National Technician Certification preferred.
Skills
- Strong communication skills, both verbal and written, with an emphasis on empathy and active listening.
- Excellent organizational skills and attention to detail.
- Ability to handle multiple tasks simultaneously while maintaining a high level of accuracy and efficiency.
- Proficiency in pharmacy software and patient management systems.
- Solid understanding of insurance terminology, prescription benefits, manufacturer assistance programs, and prior authorization processes.
- Ability to work independently and as part of a collaborative team.
- Commitment to patient care, confidentiality, and professionalism in all interactions.
- Compassion and a patient-focused approach to care.
- Strong problem-solving abilities and a proactive attitude in addressing patient and operational issues.
- Adaptability to a fast-paced, dynamic environment.
- Positive and professional demeanor in all interactions.
Additional Requirements
Ability to work scheduled hours, shifts may vary based on departmental needs.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
This role complies with all applicable employment and labor laws, which include ensuring necessary breaks and rest periods are provided, as well as prohibiting harassment, discrimination, and retaliation.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients