Referral Coordinator

Summary

Join our team as a Referral Coordinator and support diverse accounts, primarily focusing on referral prescription review. You will ensure customer success by reviewing prescriptions in their EMR, improving documentation, and building provider relationships. Responsibilities include reconciling prescription requests, handling escalated pharmacy issues, and auditing claims. This role requires strong communication, attention to detail, and medical/pharmacy terminology understanding. The position is remote and offers benefits including health, dental, vision, paid time off, and flex time.

Requirements

• Excellent written and oral communication skills
• Attention to detailed and accurate documentation in patient and client accounts
• Ability to demonstrate patience and empathy
• Understanding of medical and pharmacy terminology and medications and the ability to pronounce drugs names and explain information
• Understanding of Covered Entities’ Policy and Procedures
• A meticulous, problem-solving multi-tasker, who is driven by deadlines and can work independently after training
• Aptitude for computers and the ability to work comfortably in a phone and computer-based environment
• Provide feedback and ideas/strategies to improve performance for pharmacy relations
• Pharmacy Technician Certification (PTCB) required
• Must have at least 2 years of 340B experience at a Covered Entity or TPA
• A cleared background check is required
• Have the physical ability to work full-time in a phone-based office environment

Responsibilities

• Develop and maintain relationships with customers by ensuring that all relevant prescription documentation is accurate and stored in the customer’s EMR, as it relates to the Covered Entities’ Policy and Procedures
• Perform prescription validation on the customer’s behalf
• Navigate customer EMR and TPA platforms
• Collaborate with team members on referral prescription validation workflows and training materials
• Communicate and report on account activity and operational progress
• Develop, update, and maintain internal tracking related to program goals
• Maintain the confidentiality of client and program information
• Assist team with daily job assignments and tasks
• Assist in monitoring and tracking pharmacy fulfillment performance across pharmacies
• Assist in ensuring continuous improvement opportunities between Equiscript and all pharmacy partners
• Assist with auditing processes for newly hired representatives to ensure training was adequate and they fully understand all steps

Preferred Qualifications

• Bachelor’s degree preferred
• 2-3 years Medical Practice or Pharmacy Experience with Customer Service Skills
• Practical Understanding of Medical Terminology and Medications
• Proficient in Microsoft Office or Google Apps, email, and internet use

Benefits

• Health plan
• Dental
• Vision
• Paid time off
• Flex time
• 401K