Specialty Pharmacy Coordinator
Working as a Specialty Pharmacy Coordinator interpret medical policy as it relates to different patient diagnosis to secure specialty pharmacy authorizations for many different patient diagnosis with different insurance carrier protocol in a constantly changing environment. I work closely with physician, nurse practitioner and physician assistant to get things approved as seemlessly as possible for the best patient outcomes. This includes researching, making sure requirements are in place. Arranging coverage appeals with medical directors of different insurance companies to consider FDA changes and informing of how medication may change our mutual patients life as well as save the insurance carrier money. I arrange medical preceptorships in our office for the education of other health care professionals. I make sure that medications are pre certified and delivered on time for patient injection schedules taking safety and insurance coverage into consideration for each patient. In the busness office I have assisted with many bookkeeping duties while providing excellent customer service and while insuring patient privacy with my background with compliance after nearly 20 years in the medical field. In addition to coordination of specialty pharmacy medications, my responsibilities include a variety of things medical leave/disability reports, insurance verification through GE Centricity Software, business office duties, pre admission before procedures, transaction management purchasing of office supplies, coordination of a daily lunch program and more.
