Specialty Pharmacy Liaison

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    "raw": "Oneonta, NY, US",
    "city": "Oneonta",
    "region": "NY",
    "country": "United States",
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    "url": "https://noble-kphhealthcareservices.icims.com/jobs/14985/specialty-pharmacy-liaison/job",
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    "title": "Specialty Pharmacy Liaison",
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    "datePosted": "2025-11-19T05:00:00.000Z",
    "description": "<h2>Overview</h2>\n<p><strong>Job Summary:</strong> Responsible for all aspects of drafting and completing prior authorizations, entering of medication orders and customer service for patients, and working as liaison with pharmacy team and provider offices. </p>\n<h2>Responsibilities</h2>\n<ul>\n <li>Educate prospective pharmacy patients on how the specialty pharmacy serves patients and improves their overall care </li>\n <li>Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider</li>\n <li>Review the patients need for financial assistance and secure financial assistance when needed and available</li>\n <li>Document patient information within the hospital EMR, QS1, Therigy and all proprietary tools as required</li>\n <li>Secure prescription renewals</li>\n <li>Communicate directly with patients to assist them in the awareness of their medications</li>\n <li>Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication</li>\n <li>Answer, resolve and triage inbound inquiries</li>\n <li>Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards</li>\n <li>Actively participate in process improvement initiatives.</li>\n <li>Responsible for monitoring adjudication queue(s) and facilitate prior authorization process for customers</li>\n <li>Responsible for ensuring a high level of successful prior authorizations </li>\n <li>Responsible for Appeals Requests and External Appeals Requests when necessary.</li>\n <li>Act as liaison with Clinical and Pharmacy Team in communicating with provider offices on questions regarding appropriateness of therapy, labs or other questions/concerns and provide support for prior authorization, financial assistance, and prescription fill and renewal</li>\n <li>Responsible for accurate selecting billing and shipping methods for incoming patient orders</li>\n <li>Document patient reported information into TherigySTM</li>\n <li>Responsible for accurate data entry of incoming prescriptions, if required</li>\n <li>Provides resolution to customer service issues to ensure member satisfaction</li>\n <li>Customer service coverage for incoming calls, and making outbound calls to set up customer deliveries</li>\n <li>Responsible for completing all mandatory and regulatory training programs</li>\n <li>Perform other duties as assigned</li>\n</ul>\n<h2>Qualifications</h2>\n<p><strong>Educational Requirements:</strong></p>\n<ul>\n <li>Minimum: High School Diploma or GED</li>\n <li>Preferred: Pharmacy technician or related certification</li>\n</ul>\n<p> </p>\n<p><strong>Experience:  </strong></p>\n<ul>\n <li>Experience with Prescription Prior Authorizations required</li>\n <li>6-12 months experience as a pharmacy technician preferred</li>\n</ul>\n<p> </p>\n<p><strong>Job Skill Requirements: </strong></p>\n<ul>\n <li>Broad knowledge of medications, physician orders, and pharmacy systems</li>\n <li>Familiar with Enterprise billing options and practices surrounding claim submission</li>\n <li>Strong communication skills </li>\n <li>Outstanding customer service skills</li>\n <li>Excellent organization skills</li>\n <li>Ability to multitask and prioritize </li>\n <li>Excellent computer and keyboarding skills</li>\n</ul>\n<p> </p>\n<p> <strong>Compensation:</strong></p>\n<p> </p>\n<p>$18.02-27.03 per hour.</p>\n<p> </p>\n<p>The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. </p>\n<p> </p>\n<p>KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.</p>",
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    "validThrough": "2027-11-19T05:00:00.000Z",
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