Pharmacy Care Advocate, Specialty Pharmacy

🔥 0 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

UofL Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

UofL Health is a fully integrated academic health system focused on delivering patient-centered care. It is a not-for-profit organization with nine hospitals, four medical centers, and over 250 physician practice locations, employing more than 1,200 providers in and around Louisville, Kentucky, including southern Indiana. Affiliated with the University of Louisville School of Medicine, UofL Health emphasizes advanced patient care and participates in clinical trials and research to enhance health outcomes. With a workforce of over 14,000 healthcare professionals, UofL Health aims to transform community health through innovation and compassion.

📋 Description

• Serve as a patient advocate and liaison among patients, caregivers, pharmaceutical companies, insurance providers, physicians, pharmacists, clinic staff, and care coordination staff • Identify, facilitate, and order prescription medications through medication access, drug replacement, and co-pay assistance programs for eligible underinsured patients • Identify opportunities from co-pay assistance foundations • Create, manage, and perform financial, billing, and clinical audits • Create and distribute operational reports to pharmacy and hospital management • Verify insurance and demographic information, obtain or verify prior authorizations and referrals, and communicate medical-necessity needs for outpatient medication infusions • Coordinate patient encounters and appointments using multiple system applications and clinical operating systems • Obtain patient history and confidential demographic, financial, insurance, allergy, and disease-state information • Organize workflow, document findings, meet productivity standards, answer calls, respond to emails, and complete workload reports • Interview patients/caregivers and complete applications for drug replacement and co-pay assistance programs • Manage program-drug inventory, certify patients, and document drug deliveries and service volumes • Resolve provider and customer concerns and escalate to pharmacists or managers when needed • Contact patients/caregivers to determine medication and supply needs • Work with physicians, nurses, pharmacists, and Care Coordinators to optimize formulary and drug-benefit programs • Complete prior authorizations and appeals and contact payors to determine eligibility and coverage • Coordinate patient appointments and communicate readiness for treatment • Participate in quality improvement, department and hospital meetings, in-services, and quality teams • Maintain compliance with company policies, conduct standards, HIPAA requirements, and confidentiality • Perform other duties as assigned

🎯 Requirements

• High School or GED/equivalent (required) • Registered or eligible to register as a pharmacy technician with the State Board of Pharmacy Examiners (required) • Three (3) years of experience as a pharmacy technician (preferred) • Three (3) years of experience with patient access, insurance verification, obtaining prior authorizations or medical billing experience (preferred) • PTCB certification preferred for retail pharmacy settings involving medication handling; time will be given to obtain certification if needed • Knowledge of patient assistance programs, insurance coverage, prior authorizations, appeals, medical billing, and pharmacy operations • Ability to maintain HIPAA privacy and security requirements and confidentiality • Ability to use multiple system applications, clinical operating systems, physician EMR, fax, email, and telephone systems

🏖️ Benefits

• Fully remote/home office work arrangement • Time provided to obtain PTCB certification if needed • Participation in quality improvement teams and department/hospital in-services