At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Primary Function/General Purpose of Position
The Specialty Pharmacy Liaison is responsible for supporting the standardization and optimization of specialty pharmacy services across Bon Secours Mercy Health. The goal of the Specialty Pharmacy Liaison is to ensure proper processing and problem-solving of specialty prescriptions and to provide patients and provider offices with a high level of service. The Specialty Pharmacy Liaison is responsible for providing excellent customer service via phone and occasional direct patient contact, assisting in preparing and dispensing medications and supplies, receiving patient prescriptions, reviewing the medication list with a patient, answering phones, and triaging phone calls to the pharmacist as necessary, and helping maintain the pharmacy in proper order. The Specialty Pharmacy Liaison will help patients receive their medications in the most convenient way possible and at the lowest cost possible, including facilitating third-party billing and helping provide patients with comprehensive financial advocacy to help lower their drug costs. The Specialty Pharmacy Liaison will work proactively with patients, providers, their clinic staff, and the specialty pharmacy team to provide superior customer service.
Essential Job Functions
Processes prescription information in the computer system and assists in complete and accurate billing of third-party payer plans.
Assists customers with prescriptions or other products and completes specialty orders to meet customer needs. Demonstrates ability to respond to customer and co-worker questions or concerns in an appropriate and customer-focused manner
Assists in the preparation and delivery of medications and supplies as assigned. Receives prescriptions from patients; gathers customer information per department policy. Prepares prescription drug therapy for patients in an accurate and timely fashion in accordance with all legal requirements, regulatory agencies, and Bon Secours Mercy Health policy
Manages and maintains an adequate and sufficient stock of specialty medications and assists the pharmacist in identifying patient problems and issues
Assists with obtaining prior authorizations and partners with specialty team and provider's office in appealing denials, where appropriate.
Coordinates delivery of medications, supplies, and equipment to patients or other areas as assigned.
Completes the work of a pharmacy technician as required
Cross-trains and cover all department technician areas assigned, and trains other staff members and students as needed. Assists in the maintenance of the pharmacy to reflect a clean and well-stocked condition on a daily basis
Provides initial patient setup to establish an account with the specialty pharmacy, and verifies patient insurance coverage.
Contacts insurance carriers, benefits offices, and patients to determine new and ongoing coverage levels: Verify insurance information and level of coverage, inform the patient of pharmacy benefits coverage, assist the patient with the specialty pharmacy process for non-participating pharmacy for patient ease in out-of-network situations
Plans and schedules patient deliveries with respect to efficiency, time, priority, product-specific shipping needs, and cost-effectiveness
Demonstrates Commitment to Customers, Fellow Employees, and Bon Secours Mercy Health
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Licensing/Certification
Registration with respective State Board of Pharmacy as a Pharmacy Technician Trainee (required)
Applicable state Pharmacy Technician License (preferred)
National Certified Pharmacy Technician (preferred)
Education
High School/GED (required)
Bachelor's Degree, Graduate of Pharmacy Technician Course (preferred)
Work Experience
1 year of experience in specialty or retail pharmacy (preferred)
3 years of experience in a professional healthcare environment (may include call center or medical office) (preferred)
Training
EPIC Electronic Health Record (preferred)
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
