pharmacy intake coordinator

Valley Vital Care

Valley Vital Care is an infusion pharmacy located in Waynesboro, VA. We service all of Virginia and West Virginia. We have locations in Winchester, Strasburg, Richmond, Waynesboro, Lynchburg and Roanoke Virginia as well as Charleston, WV. We provide IV therapies to patients in our pharmacy suites as well in the patient's home. Therapies include biologic therapy for chronic conditions, long and short-term antibiotic therapies for self-administration, TPN and enteral feedings.We are seeking a dedicated and detail-oriented Acute Intake Coordinator to join our healthcare team. The ideal candidate will play a crucial role in managing patient intake processes, ensuring that all necessary information is collected accurately and efficiently. This position requires strong communication skills, a solid understanding of health information management, and the ability to work collaboratively within a medical office environment. Experience in benefit investigation, authorizations and health insurances preferred.Responsibilities<ul><li>The Acute Intake Coordinator role is a full-time position responsible for coordinating the discharge plan for new patients entering the pharmacy&rsquo;s care. This position will incorporate working with healthcare providers, our internal pharmacy team and patients to ensure a seamless transition of care.</li><li>Communicating with hospitals, doctor's offices and referral sources to generate a plan of care for patients.</li><li>Collect and verify patient information, including personal details, medical history, and insurance information.</li><li>Ensure accurate data entry into the electronic health record (EHR) system, maintaining confidentiality and compliance with HIPAA regulations.</li><li>Assist with insurance verification processes to confirm coverage and benefits for patients.</li><li>Conduct comprehensive benefit investigation for new patient referrals and evaluate pharmacy benefit plans and medical benefit plans to help determine out of pocket expenses for patients.</li><li>Communicate effectively with patients regarding their discharge planning and out-of-pocket costs.</li></ul>Experience<ul><li>Previous experience in an intake role is highly preferred.</li><li>An active Pharmacy Technician License is required.</li><li>Familiarity with health information management practices and medical terminology is essential.</li><li>Knowledge of insurance verification processes and hospital operations is highly valued.</li><li>Proficiency in typing and data entry skills to ensure accurate documentation of patient information.</li></ul>If you are passionate about providing exceptional patient care, are a team player and have the skills necessary for this role, we encourage you to apply for the Acute Intake Coordinator position today!Job Type: Full-timePay: $22.00 - $26.00 per hourExpected hours: 40.0 per weekBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>License/Certification:<ul><li>Pharmacy Technician License (Required)</li></ul>Work Location: Hybrid remote in Waynesboro, VA 22980

Acute Intake Coordinator-Valley Vital Care Infusion Pharmacy

Nebraska Medicine

<div><div><div><div><div><div><div><div>Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.</div></div></div></div></div></div></div>
Shift:
First Shift (United States of America)
Medication Access Coordinator - Full-time - First Shift
Position Highlights:
Nebraska Medicine is now taking applications for a talented individual to join us as a Medication Access Coordinator in our Outpatient Pharmacy department. This position works at our Central Fill location for Nebraska Medicine, and the office is located near 114th and Dodge in Omaha, NE. While this role allows for remote work, employees must be in either Nebraska or Iowa.
The Medication Access Coordinator is an advanced pharmacy technician role focused on helping patients start and stay on therapy by navigating insurance coverage, prior authorizations, and financial assistance programs. This position plays a critical role in removing access barriers and supporting high‑quality patient care. We are seeking experienced pharmacy technicians who are ready to move beyond traditional dispensing roles and develop expertise in medication access, reimbursement, and payer processes. Nebraska Medicine offers flexible scheduling and hybrid remote work options, along with comprehensive, structured training to ensure success. This role is part of a growing and innovative pharmacy technician career ladder, providing meaningful opportunities for advancement. For those seeking a rewarding, career-elevating position that directly impacts patient care, this is a unique opportunity to grow within an industry-leading health system.
Shift:<ul><li>
Full Time - 1.0 FTE (80 hours in a pay period)</li><li>
Working 8-hour days, Monday &ndash; Friday with start times between 7:00 AM to 10:00 AM</li><li>
Hybrid scheduling available after 3 months of in-office training</li><li>
Must reside in either Nebraska or Iowa</li></ul>
For additional information about this position, please contact Breanna Hutchinson, brhutchinson@nebraskamed.com
Why Work at Nebraska Medicine?<ul><li>
Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.</li><li>
Leading Health Network Work with the region&rsquo;s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.</li><li>
Dignity and Respect We value diverse backgrounds and experiences, reflecting the communities we serve.</li><li>
Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.</li></ul>
Be part of something extraordinary at Nebraska Medicine!
Duties: Medication Access Coordinator<div>
Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process. 
 
Required Qualifications: Medication Access Coordinator 
 
<ul><li>Minimum of three years healthcare and/or insurance/third party reimbursement experience required.</li><li>High school education or equivalent required.</li></ul></div><ul><li>Demonstrated ability to independently assess clinical situations and make evidence-based medication decisions affecting patient care required.</li><li>Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.</li><li>Ability to solve problems independently and must be strongly vested in team management required.</li><li>Ability to multi-task and excel in a dynamic environment required.</li><li>Experience with various computer mainframe, network, web based and payer applications required.</li><li>Must register with the State of NE as a pharmacy technician required.</li><li>Must complete Pharmacy Technician Certification within one year required.</li></ul> 

Preferred Qualifications: Medication Access Coordinator 
 
<ul><li>Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.</li><li>Associate's degree in business, healthcare or related field preferred.</li><li>Bi-lingual preferred.</li><li>Prior Authorization experience in specialty or retail pharmacy preferred.</li><li>340B knowledge and experience preferred.</li><li>Apexus 340B OnDemand Certificate preferred.</li></ul><div><div><div><div><div><div><div>
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans&rsquo; status.</div></div></div></div></div></div></div></div>

Medication Access Coordinator

Mosaic Pharmacy Service

<div>Description: 
Title: Pharmacy Enrollment Coordinator, Onboarding
Company Overview
From its founding in 2011, RxAnte&rsquo;s mission has been exceedingly simple: Get more from medicines. Today, with a team of 95 and offices in Washington, DC and Portland, ME, we are the leading provider of predictive analytics and targeted clinical programs that improve prescribing and adherence. With 14 million lives under management, our patented solutions for health plans are proven to improve quality scores and lower costs by improving prescription drug use.
In 2019, RxAnte launched Mosaic Pharmacy Service (MPS), a wholly-owned subsidiary. Designed specifically to provide in-home pharmacy services to medically complex and vulnerable seniors, MPS will directly improve prescribing, adherence, and drug therapy outcomes for patients under our care. We provide a patient-focused care model in collaboration with health systems, assisted living facilities and health plans. Our goal is to provide a superior pharmacy experience for Mosaic Members while working with their prescribers to make regimens safer, simpler, and more affordable.
Job Overview
As an Onboarding Enrollment Coordinator, you will be the first voice a patient hears at Mosaic&mdash;a trusted guide helping them understand and embrace our innovative pharmacy service. Leveraging your experience in healthcare, pharmacy, or home health, you will conduct telephonic or video consultations with new patients to gather medical history, reconcile medications, and prepare them for a seamless start with our pharmacy.
This role blends patient empathy, administrative excellence, and collaboration skills to deliver high-quality onboarding experiences. This is a full-time, remote position.
Responsibilities:
Primary Responsibilities -80%<ul><li>
Serve as the first point of contact for new patients via phone or video.</li><li>
Conduct comprehensive medication history interviews and reconcile prescriptions.</li><li>
Educate patients on Mosaic&rsquo;s pharmacy services and benefits.</li><li>
Synchronize medication regimens and schedule initial medication shipment</li><li>
Contact previous pharmacies to coordinate prescription transfers</li></ul>
Secondary Responsibilities &ndash; 20%<ul><li>
Collaborate with prescribers to obtain new prescriptions.</li><li>
Address patient inquiries regarding insurance, costs, and coverage.</li><li>
Support claims processing and resolve third-party billing issues.</li><li>
Accurately enter prescription details into the pharmacy system to ensure precise and timely medication fulfillment.</li><li>
Thoroughly and accurately document patient information in our pharmacy management system</li><li>
Serve as point-of-contact for new patients</li></ul>
NOTE<ul><li>
While the plan is for the employee to spend approximately 80% of their time on primary responsibilities and 20% on secondary responsibilities, these percentages may vary based on operational needs. There may be days when the distribution shifts, and in the event of a vacancy or other business requirements, the employee may be asked to assume a higher proportion of secondary responsibilities.</li></ul>
Requirements:

Professional qualifications:
Required<ul><li>
Licensed technician in good standing in the state of Virginia</li><li>
3+ years of experience in healthcare or pharmacy settings with patient interaction (home health, hospital, primary/specialty care, pharmacy).</li><li>
Working hours are Monday-Friday with a full-time shift sometime between the hours of 9 am &ndash; 6 pm ET. Exact 8.5-hour shift to be confirmed at the time of hire. Occasional overtime may be required based on patient needs</li></ul>
Key Competencies<ul><li>
Exceptional communication skills, including empathetic listening and clear verbal/written expression.</li><li>
High attention to detail and strong organizational abilities.</li><li>
Adaptability in a fast-paced, evolving environment.</li><li>
Proficiency with pharmacy software and general computer applications.</li></ul>
Preferred<ul><li>
1-2 years of experience in a call center environment</li><li>
Experience collecting medication histories strongly preferred.</li></ul></div>

Pharmacy Onboarding Enrollment Coordinator

MGA Homecare

<div>Central Intake Coordinator
Job Overview
Duties and Responsibilities
MUST LIVE IN CST or EST TIME ZONES<ul><li>
Organization Communication<ul><li>
Handles all daily patient referrals and intake operations, reviews, and processes pending referrals</li><li>
Enters all demographic and insurance information for new customers and updates as needed</li><li>
Completes registration of clients into the home care management program in an accurate and timely manner</li><li>
Informs location staff of received referral/s with full details on deductible, coinsurance, and copay</li><li>
Adheres to the rules regarding confidentiality of HIPAA protected health information</li><li>
Assists with the identification and reporting of potential quality management and noncoverage issues</li><li>
Communicates with relevant parties to obtain authorization of home health services, initial and ongoing Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval</li><li>
 Provides direct support regarding utilization, authorization, and referral activities</li><li>
Contacts providers and families with authorization, denial, and appeals process information</li><li>
Completes monthly authorization expiry reports and informs location of upcoming renewals</li><li>
Completes all changes to health insurance in KanTime</li></ul></li><li>
Verification<ul><li>
Verifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each month</li><li>
Reports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake</li></ul></li><li>
Insurance knowledge experience<ul><li>
General knowledge of state Medicaid plans, private insurance plans, Medicare and Veteran Affairs</li></ul></li></ul><ul><li>
Performs all other duties assigned by Director of Central Intake</li><li>
Supports and executes the mission, ethics, and goals of the company effectively<ul><li>
 Represents themselves in a positive and professional manner in the company and community</li><li>
Adheres to dress code with a clean and neat professional appearance</li><li>
Reports on time and as scheduled to complete work within designated time</li><li>
Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team</li></ul></li></ul>
Requirements<ul><li>
High School Education- Associates Degree preferred</li><li>
 Exceptional Customer Service</li><li>
 Must be detailed oriented</li><li>
 Familiarity with ICD-10 coding</li><li>
 Able to work independently</li><li>
 Able to work remotely</li><li>
 Ability to perform basic to intermediate applications with Excel</li><li>
 Strong verbal and written communication skills (Additional languages preferred)</li><li>
 1+ year experience in a clinical environment preferred</li><li>
 Requires in depth knowledge of benefits and authorizations</li><li>
 Proficient use of standard computer programs for data entry and data organization</li></ul>
Additional Job Description Information
#IND123
EEO Statement:
MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.</div>

Central Intake Coordinator

Radias Health

<div>***The expected salary range for this position is based on several factors including market, funding, candidates experience level, skills, training, and related knowledge. Our ranges are developed and published as good faith estimates for the position.***
Starting Salary Range: $52,797 - $55,577 + Office Benefit Package (Parking/Remote Expenses): $130/Month subject to change
RADIAS Health is hiring a Central Access Intake Coordinator! This position will provide services to to individuals seeking mental health services for themselves or for someone they know.
The goal of the team is to improve system efficiency by simplifying methods to access existing community-based services targeted to individuals who frequently utilize community-based and/or State Operated hospital systems. The program will provide a central point of contact for referrals and initial coordination of services for individuals, community stakeholders, and referring providers. The Central Intake Coordinator will be responsible for assessing the needs of callers, providing education on service options available, facilitating completion of steps needed for referral and intake into specific programs. The Central Access Team is currently in development and as such the role will evolve based on the needs of both internal and external stakeholders. This position is funded through a State of Minnesota Mental Health Innovations Grant.
Schedule: Monday - Friday 8 am - 4 pm or 9 am - 5 pm, 40 horus per week
**This position works onsite at 166 4th Street, East. Suite 200, St. Paul, Minnesota**
Duties and Responsibilities
<ul><li>Serve as a first point of contact for individuals seeking services and community providers looking to make referrals.</li><li>
Assess needs, provide education, and make recommendations on RADIAS Health service options that the individual may to eligible to receive.
</li><li>Facilitate gathering of records and assessment information needed to determine eligibility for specific programs. Provide updates to the individual/referral source on next steps, estimated timelines, and other updates related to service eligibility.
</li><li>Partner with internal programs and facilitate work completion needed to maximize timely response to referents and associated admission into care.
</li><li>Partner with external stakeholders to provide education, information and streamlining of referral pathways, with an emphasis on welcoming diverse and underserved communities into the RADIAS system of care.
</li><li>Provide education and assistance connecting individuals to needed community resources.
</li><li>Develop and maintain systems for tracking service needs in relation to program capacity, which may include maintenance and follow up with wait lists.
</li><li>Participate in the management of service availability through partner systems such as MN Fast-Tracker.
</li><li>Participate in the gathering and management of data needed for State outcomes reporting.
</li><li>Provide initial cultural assessment to guide how the agency may best respond to the individual needs of each person seeking services.
</li><li>Complete crisis assessments, functional assessments and provide short-term services as needed, while connecting the individual to on-going care providers.
</li><li>Ensure appropriate reporting is submitted to Vulnerable Adult, Child Protection, the Ombudsman&rsquo;s Office, or other agencies/entities when necessary.</li><li>
Provide courteous and respectful services to all individuals, community members, external and internal partners.
</li><li>Effectively communicate, track and coordinate all aspects of the process necessary to facilitate enrollment in RADIAS Health services.
</li>Maintain knowledge of community resources, Medicaid benefits and information on accessing community social services and health insurance benefits. 
<li>
</li></ul> 
 
Requirements 
<ul><li>
Candidate will have a Bachelor's degree in Psychology or Social Work plus 2,000 hours work experience providing services to adults diagnosed with a serious mental illness</li></ul>
-OR-
No college degree and 4,000 hours supervised work experience in the delivery of services to adults or children with mental illness. 
<ul><li>
</li></ul> 
 
Benefits 
<ul><li>
4 weeks accrued PTO first year of employment
</li><li>12 paid holidays</li><li>
Medical, dental, vision, life insurance</li><li>
Health Saving Accounts (HSA) + employer contribution and Flexible Saving Accounts (FSA)</li><li>
Tuition reimbursement and Student Loan Repayment Assistance
</li><li>Dependent Care Account (DCA) + employer contribution
</li><li>Reimbursement for professional licensure fees</li><li>
Routine supervision from a Mental Health Professional, with access to licensure supervision opportunities</li><li>
403b retirement plan with an employer percentage match</li><li>
Employer paid short-term and long-term disability insurance</li><li>
Bereavement and paid parental leave</li><li>
Employee Assistance Program (EAP)</li><li>
Wellness program to support employee overall health and well-being</li><li>
Variety of discounts through ADP LifeSmart
</li><li>Pet insurance
</li><li>Mileage reimbursement</li><li>
Casual dress code</li></ul>
RADIAS Health is proud to be a LGBTQIA+, anti-racist, all-inclusive, and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as protected veteran, status as a qualified individual with a disability, or any other protected class status.
RADIAS Health is committed to pay transparency and equity, providing all employees and applicants with access to starting salary.
#LowP</div>

Central Access - Intake Coordinator (Mental Health Practitioner)

AdaptHealth

<div>Description:

AdaptHealth Opportunity &ndash; Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives &ndash; out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients&rsquo; lives, please click to apply, we would love to hear from you.
Pharmacy Specialist
The Pharmacy Specialist assists customers with remote processing of orders through the Pharmacy channel. This position coordinates order processing with Pharmacist(s) and Pharmacy Tech(s) in accordance with normal order process. This position does not perform Pharmacy Technician duties unless licensed.
Job Duties:<ul><li>
Confer with customers by telephone, email, or SMS messaging to provide information about products or services, cancel accounts, or upgrade accounts.</li><li>
Assist with processing of pharmacy sales orders, process payments, refunds, or exchanges.</li><li>
Inform customers of deals and promotions, answer questions about warranties and terms of sale.</li><li>
Sell products and services and solicit sales of new or additional products or services.</li><li>
Call insurances to obtain patient PBM coverage information</li><li>
Accurate data entry into system</li><li>
Document collection and storage</li><li>
Contact doctor offices to collect and request prescriptions, authorizations, clinical notes, and lab results.</li><li>
Run pharmacy test claims and communicate copays to the patient</li><li>
Answer phones and provide customer service.</li><li>
Keep workspace and common pharmacy areas clean.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA</li><li>
Other duties as assigned.</li></ul>
Requirements:

Minimum Job Qualifications:<ul><li>
High school diploma is required</li><li>
Three (3) years of prior Pharmacy experience is required</li></ul>
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual&rsquo;s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.</div>

Pharmacy Intake Specialist

Highmark Health

<div><h2 class="jobSectionHeader">Company :
</h2>Highmark Inc.
<h2 class="jobSectionHeader">Job Description :
</h2>JOB SUMMARY
This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization.
 
 
ESSENTIAL RESPONSIBILITIES
<ul><li>Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform.
</li><li>Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator.
</li><li>Other duties as assigned or requested.
</li></ul>EXPERIENCE 
 
Required
<ul><li>1 year of Healthcare experience
</li><li>1 year of Customer Service experience
</li></ul>Preferred
<ul><li>1 year of Call Center experience 
</li></ul> 
SKILLS
<ul><li>Possess good written and oral telephonic communication skills
</li><li>Ability to navigate through multiple systems simultaneously
</li><li>Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax
</li><li>Ability to interact well with peers, supervisors, and customers 
</li></ul> 
EDUCATION 
 
Required
<ul><li>High School Diploma 
</li></ul> 
Preferred
<ul><li>None 
</li></ul> 
LICENSES or CERTIFICATIONS 
 
Required
<ul><li>None 
</li></ul> 
Preferred
<ul><li>None 
</li></ul> 
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office- or Remote-based
Physical work site required
Constantly
Travel Required
0% - 25%
Audible Speech
Frequently
Hear
Frequently
Position self or move lower on ground, under tables/desk, etc.
Occasionally
Climb
Occasionally
Drive
Never
Reach
Occasionally
Sedentary Position
Constantly
Move
Occasionally
Repetitive Motion
Constantly
Use Hands/Fingers to Handle or Feel (beyond data entry)
Occasionally
Vision - Distinguish Color
Occasionally
Vision - Far, near, Depth Perception
Occasionally
Lifting: up to 10 pounds
Constantly
Lifting: up to 20 pounds
Occasionally
Lifting: up to 50 pounds
Never
Lifting in excess of 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
 
 
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
 
 
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
 
 
Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$19.39
Pay Range Maximum:
$24.19
Base pay is determined by a variety of factors including a candidate&rsquo;s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice</div>

Associate Intake Coordinator

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