Specialty Pharmacy Liaison - Mason Service Center

The Specialty Pharmacy Liaison is responsible for supporting standardization and optimization of specialty pharmacy services across Bon Secours Mercy Health. The goal for the Specialty Pharmacy Liaison is to ensure proper processing and problem solving of specialty medications and other medications supported by pharmacy and to provide patients and provider offices a high level of service. The Specialty Pharmacy Liaison is responsible for providing excellent customer service via phone and occasional direct patient contact, 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 cost. The Specialty Pharmacy Liaison will work proactively with patients, providers and their clinic staff, and the specialty pharmacy team to provide superior customer service.

• Process prescription information in the computer system. Assist in complete and accurate billing of third-party payer plans. Ensure accurate and safe processing of prescription information. Review patient profile for accuracy
• Assist customers with prescriptions and/or other products. Complete specialty pharmacy orders to meet customer needs. Demonstrate ability to respond to customer/co-worker questions or concerns in an appropriate and customer‑focused manner.
• Assist in the preparation and delivery of medications and supplies as assigned. Receive prescriptions from patients; gather customer information per department policy. Prepare prescription drug therapy for patients in an accurate and timely fashion in accordance with all legal requirements, regulatory agencies and organizational policy. Document appropriately and maintain updated patient charts. Ensure refill dates are documented appropriately to prevent patient’s missing a dose.
  
  Assist the pharmacist in identifying patient problems and issues.
• Access, maintain, and update patient accounts and charts. Assist with obtaining prior authorizations. Assist the specialty team and provider’s office in appealing denials, where appropriate. Work closely with office staff to ensure refill authorizations are proactively obtained.
• Coordinate and ensure appropriate medication delivery. Coordinate delivery of medications, supplies and equipment to patients or other areas as assigned. Complete order taking, verifying proper information. Listen to customer concerns.
• Complete the work of a pharmacy technician as required. Answer phone calls, faxes, and computer requests in a timely manner. Cross train and cover all department technician areas assigned. Train other staff members and students as needed. Assist in maintenance of the pharmacy to reflect a clean and well-stocked condition daily.
• Provide initial patient set up to establish account with the specialty pharmacy. Verify patient insurance coverage. Assist patients in working with insurance companies. Research to optimize patient‑specific and drug‑specific copay assistance. Provide recommendations on additional funding sources.
• Contact insurance carriers, benefits offices and patients to determine new and ongoing coverage levels. Verify insurance information and level of coverage. Inform patient of pharmacy benefits coverage. Assist patient with the specialty pharmacy process for non‑participating pharmacy for patient ease in out‑of‑network situations.
• Plan and…