Job Description

Overview:

Specialty Pharmacy Account Coordinator

Riverport I

3138 Riverport Tech Center Dr

Maryland Heights, Missouri 63043

The Specialty Account Coordinator Iis responsible for multiple facets of patient account coordinationincluding insurance/benefit verification, rejection and denials management and collections. The Specialty Account Coordinator is also responsible for knowing which assistance programs, such as drug copay cards and/or foundations, patients may qualify for, assisting patients in enrolling in thoseprograms, monitoring services rendered and billing the assistance programs for the applicablefunds. This position requires a thorough understanding of all available programs, funding guidelines, claims procedures and insurance company regulations, as well as oncology coding and billing. This position monitors insurance company regulations for changes in pre-certification, documentation, medical necessity criteria, policy requirements and/or claims submission requirements. This position requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Specialty Account Coordinator I serves as a resource for other staff and patients.

Qualifications:

Education:

High School or GED. Some college hours in Business, Finance and/or Accounting related courses preferred.

Licensure

: Current State Technician license in good standing.

Experience:

A minimum of 3 years related experience required including 1 year of relevant pharmacy experience.

Certification/Registration:

Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB) is required within six months from start.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

EEO/AA/Minorities/Females/Disabled/Veterans