Patient Care Coordinator, Specialty Pharmacy- Evernorth

Serve as the primary coordinator for patient cases, ensuring smooth progression from referral through therapy completion. Support specialty pharmacy operations by completing prior authorization documentation, scheduling medication deliveries, and facilitating document retrieval within required timelines.

Responsibilities

+ Provide exceptional customer service in a phone-based environment, offering clear communication and empathetic support.
+ Perform claim adjudication tasks including prior authorizations, billing, and eligibility checks, which may require outbound calls.
+ Collaborate with pharmacists, technicians, and healthcare professionals to resolve patient issues and maintain continuity of care.
+ Conduct welcome calls and outreach to help new patients successfully onboard and establish trust.
+ Maintain accurate, organized patient records from initial contact through benefit verification, therapy initiation, follow-up, and case closure.
+ Use mu...