Patient Care Coordinator

Patient Care Coordinator

The VFP Pharmacy Group Patient Care Coordinator works under the direction of our Operations Supervisor to compassionately and efficiently assist patients, provider offices and clients via the telephone, email or chat.

They are expected to process prescription claims including data entry into the pharmacy processing system and to adjudicate claims to payers.

The PCC is also expected to answer and field questions from internal and external business partners via telephone and email.

They will work to ensure VFP remains complaint, ethical, adherent to pertinent regulations and laws, and promotes an open, inclusive, and patient-centric culture.

Daily tasks will include department tasks, workflow, aligned processes across all VFP locations (as needed).

The PCC works closely with our Call Center Technicians and operates under the supervision of the clinical pharmacist teams.

Essential Functions


* Delivers superior customer service and can work professionally in pharmacy environment


* Interacts professionally with pharmacists, medical providers, consultants, and other staff


* Accurately obtain and enter patient information, including shipping, insurance and payment information.


* Entering Prescriptions into pharmacy operating system accurately via knowledge of medical terminology including sig codes and brand/generic medication.

Other pharmacy terminology familiarity preferred


* Responsible for identifying prescription errors and anomalies and escalating as necessary


* Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance


* Responsible for identifying prescription errors and anomalies and escalating as necessary


* Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance


* Exercises good team collaboration to ensure order timeliness, quality and service metrics are routinely achieved


* Collaborates with members of health disciplines in the interest of the patient's health care


* Refers patients to available resources in a timely manner


* Brings a winning attitude to work each day


* Other duties as assigned

Requirements and Preferences


* High School Diploma or equivalent


* California Pharmacy Technician License preferred


* Must be available to work an 8-hour shift Monday through Friday, within the hours of 8:30am-6pm occasional holidays & rotating weekends


* Minimum 1-3 years of call center experience, preferably in healthcare, insurance or specialty pharmacy setting


* Strong working knowledge of HIPAA and other pertinent and applicable laws and regulations surrounding pharmacy and patient care


* Strong technical knowledge of pharmacy processing system and phone systems


* Ability to problem solve, think critically, and improve workflow procedures


* Proven track record for handling l...