Today, Jefferson Health and its network of hospitals and physician practices serve patients throughout the Delaware Valley. We have a robust network of 18 hospitals, 3500 physicians, 9600 nurses, 3,876 licensed beds, and physician practices throughout the counties of:

• Bucks
• Camden
• Gloucester
• Montgomery
• Philadelphia

We are Philadelphia's second largest employer, and nationally ranked by US News & World Report in seven specialties including #2 Ophthalmology (Wills Eye), #9 Rehabilitation (MossRehab), #10 in Orthopedics (Rothman Orthopaedics at Jefferson Health, Philadelphia Hand to Shoulder Center, 3B Orthopedics, the Abington Orthopedic & Spine). Whether you're in the city or the suburbs, Jefferson Health provides the exceptional care you expect - close to home or work - through our broad family of primary care physicians and specialists. Jefferson Health is home to nationally ranked experts who provide a personalized care plan for you. Sidney Kimmel Cancer Center - Jefferson Health is one of only 70 NCI-designated cancer centers in the country. With more than 30,000 employees, we are the largest health system in the Philadelphia region by total licensed beds. And our work to improve lives is never done.

In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees. If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson. Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education.

Responsibilities

This position is located at our King of Prussia office: 3500 Horizon Drive King of Prussia, PA

PRIMARY RESPONSIBILITIES :

Drug Acquisition Representatives assist patients, physicians and pharmacists in the completion of: benefit investigations, prior authorizations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients. Responsibilities include entering the patient information (name, date of birth, insurance information, allergies and medication history) into our therapy-specific patient assessment software. Initiating, completing and following up on the status of Prior Authorizations or appeals submitted to insurance carriers in order to support physician offices. Under the direction of a patient care pharmacist, assist with the filling and distribution of prescriptions, in accordance with the law.

ESSENTIAL FUNCTIONS:

• Receives inbound and outbound calls to patients or physician offices regarding orders or prescription refill information for high dollar/specialty medications (e.g. Oncology, Hepatitis) (under appropriate supervision of pharmacist), pharmacy services, and all other inquiries.
• Documents all communications, interactions and other information in the patient's medical record to ensure that all members of the care team are kept up to date; flags issues that need to be addressed.
• Responsible for monthly follow-up calls to patients to discuss medication on hand, identify any barriers to patient adherence and facilitate discussions with the clinical staff to help the patient overcome barriers.
• Explain insurance coverage to patients as it relates to their co-payment responsibility and financial resources available to them.
• Contributes to departmental Quality Assurance/Quality Improvement activities. Expected participation no less than 2% of time - increased participation based on need/project.
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.

Qualifications

EDUCATIONAL/TRAINING REQUIREMENTS:

High School Diploma or GED equivalent

CERTIFICATES, LICENSES, AND REGISTRATION:

AS/BS degree preferred; Certified Pharmacy Technician (CPhT) preferred

EXPERIENCE REQUIREMENTS:

3+ years experience in customer service role.

1+ years experience in a specialty pharmacy, hospital, health insurance company, benefits department or other related healthcare environment.

ADDITIONAL INFORMATION:

• Knowledge of clinical software systems, Specialty Medications and Medicare billing is highly preferred.

• Ability to communicate professionally and effectively in both written and verbal format with patients, physicians, payors and clinical staff in-person and on the phone.

• Flexibility to adapt to changes in the departmental needs including but not limited to: offering assistance to other team members, adjusting assignments, etc.

• Detailed oriented with excellent organization skills, ability to learn quickly, solve problems and make informed educated decisions.

Closing Statement

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnet®-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jefferson's mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold & Think Differently and Do the Right Thing

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.

Par Reference Code

105936, 105937, 105939 & 105941