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Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full time
Shift:
Day-Weekend (United States of America)
Address:
601 E ROLLINS ST
City:
ORLANDO
State:
Florida
Postal Code:
32803
Job Description:
Schedule: M-F, 8A-8P with possibility for some weekends (Flexible); 40 hours/week
Location: 601 E ROLLINS ST ORLANDO, FL 32803
Responsible for improving patient outcomes by assisting with processing, filling, and delivery of medications. This position leads and manages referrals, verifies patient demographics and medication coverage, and initiates prior authorization requests. This role facilitates patient assistance, appeals, peer reviews, and co-pay assistance, ensuring communication with specialty patients and referral sources. Other expectations include developing content and presenting clinical services to provider offices, providing metrics related to prior authorization and patient funding success rates.
Monitors patient medication adherence and provides interventions as needed.
Maintains accurate and up-to-date patient records and documentation.
Participates in quality improvement initiatives to enhance pharmacy services.
Other duties as assigned.
Dispenses medications accurately and efficiently to patients. Reviews and verifies prescriptions for accuracy and completeness. Manages inventory to ensure adequate stock levels and compliance with regulations. Utilizes patient assistance programs to provide financial aid to eligible patients.
Knowledge, Skills, and Abilities: • Proficiency with prescription-filling software and other computer skills [Required] • Proficient in processing third party claims and secondary billing [Required] • Knowledge of part B a part D Medicare billing [Required] • Knowledgeable in most major prescription insurance carrier reimbursement guidelines and eligibility for coverage by third-party payers [Required] • Knowledge of medical terminology and vast understanding of mathematical principles to perform pharmaceutical calculations [Required]
Education: • Associate [Required]
Work Experience: • 5+ years working in a retail pharmacy or equivalent environment [Preferred] • Previous experience in a managed healthcare organization, medical insurance company, pharmacy benefit management or other healthcare related entity [Preferred] • Prior experience facilitating prior authorizations, patient assistance and co-pay assistance [Preferred] • Prior experience processing and filling prescriptions for specialty patients [Preferred]
Additional Information:
• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement: • Associate's degree OR • High School Grad and 5+ years of experience
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. More than 100,000 skilled and compassionate caregivers in physician practices, hospitals, outpatient clinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, wholistic care.Our Christian mission, shared vision, common values and focus on whole-person health is our commitment to making communities healthier with a unified system: 51 hospital campuses and hundreds of care sites in diverse markets throughout nine states.