Support Services Specialist - General Hospital Pharmacy

The Support Services Specialist provides prescription support services for patients to assure effective and efficient delivery of health care. This position requires strong computer skills, a high level of attention to detail, accurate documentation skills, strong organizational and problem-solving skills, a general knowledge of hospital and prescription billing practices, and excellent customer services skills. This position will work closely with other staff within the hospital to support non-specialty pharmacy medication adherence management (management of patient refill coordination), complete routine pharmacy billing activities, and assist with shipping issues. This position will primarily provide support to patients utilizing non-specialty ambulatory care pharmacies at UI Health Care, including but not limited to Stead Family Children’s Hospital L2 Outpatient Pharmacy, General Hospital Pharmacy, Pomerantz L2 Outpatient Pharmacy, and Discharge Pharmacy.

Position Responsibilities

• Patient Adherence Management
  • Manage refill services for select patient populations in accordance with department policies and procedures.
  • Communicate via phone and electronically with patients, pharmacist, providers and other health care team members regarding patient adherence issues.
  • Monitor and manage inventory activities related to patient prescription needs.
  • Provide accurate documentation of all patient interactions/assessments as required by accrediting agencies, payers and/or administration.
• At a future date, enrollment of patients in refill management pharmacy services including:
  • Communication with patient, pharmacist and/or provider to gather relevant demographic information, shipping and contact preferences.
  • Provision of appropriate enrollment and contact information.

  • Provides highest customer service experience for patients and providers.

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  Communication/Training:
  • Understand the importance of effective business communication and maintaining professionalism in difficult situations.

  • Participate in orientation of pharmacy technicians, pharmacists, pharmacy residents and others within the department on pharmacy practices.

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  Problem Resolution
  • Provides assistance with the resolution of shipment/delivery issues.
  • Communicate with providers, payors, patients, co-workers, supervisors and departments to resolve complex insurance issues.

  • Provides assistance to patients with billing and claim resolution issues

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  Provide documentation of all activities as required by accrediting agencies, payers and/or administration, including:
  • Workload statistics (enrolled/active patients, mail outs, etc.)

  • Phone statistics

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  Assists with evaluation and implementation of new policy and procedures
  • Participate in piloting new workflows/procedures
  • Assist with preparing training and orientation materials for new procedures
  • Assist with training and orientation of staff to new procedures

  • Assist with specialty pharmacy service equipment modifications, reorganization, and additions to implement new policy and procedure

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  Complete and maintain compliance with all competencies and educational requirements.
• Other duties as assigned
  • Provide cross functional support to assist with communication and enrollment of patients into copay/coinsurance assistance and grant programs
  • Provide cross functional support to assist with troubleshooting claim payments