Specialty Pharmacy Liaison TrialCard, Inc 5 reviews - Kansas City, MO Overview Under the general supervision of the Program Manager, the Specialty Pharmacy Liaison serves as a liaison between manufacturer representatives and/or specialty pharmacy contacts in order to effectively monitor patient status, triage and dispense data to prevent potential interruptions in patients therapy and resolve errors in data reporting. Proactively monitors program reports to assess specialty pharmacy adherence to business requirements. Work is performed with latitude for independent judgment, and action is reviewed by the Program Manager through conferences, reports and observation of results obtained. Responsibilities * Liaison between Program Manager, Specialty Pharmacy and manufacturer representatives * Keeps the Program Manager abreast on all aspects concerning the Specialty Pharmacy process * Lead and facilitate daily conference calls with specialty pharmacy contacts (and client, if applicable) to monitor patient progress, reconcile data discrepancies, research missing data, handle inquiries and provide updates as requested * Coordinate patient status requests, copay assistance, prior authorization and billing inquiries and obstacles, eligibility inquiries, and claims processing challenges * Create and maintain action log, agendas and minutes for each specialty pharmacy meeting * Handle inbound/outbound calls from all applicable customers including but not limited to specialty pharmacy contacts, client contacts, third party vendors and internal team resources * Triage and/or approve referrals to specialty pharmacies daily or as needed * Reference and implement Business Requirements Document (BRD) as it pertains to operating procedures, validation of incoming data from the Specialty Pharmacy, and identifying and escalating data feed issues internally and externally * Identify needed system enhancements and/or reports and participate in requirement review, testing and implementation * Implement business requirements for newly-contracted specialty pharmacies joining the network to ensure adherence to all contractual obligations; ensure all data is validated prior to program launch * Coordinate data transfer with client and ensure data integration during transition of product support services * Problem solves issues with autonomy * Share best practices and learning opportunities with reimbursement team * Identify and report Adverse Events * Other responsibilities, as assigned Qualifications * Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, or similar vocations generally obtained through completion of a two year associates degree program, technical vocational training, or equivalent combination of experience and education. * Two or more (2+) years directly related and progressively responsible reimbursement experience preferred. Additionalexperience in the healthcare field (medical insurance, physicians office, pharmacy, hospital, etc.) beneficial * Ability to communicate effectively both orally and in writing * Strong interpersonal skills * Strong mathematical skills * Initiative and strong work ethic critical * Ability to multitask and prioritize in a fast-paced environment * Excellent problem-solving and decision-making skills required * Strong organizational and time management skills; keen attention to detail * Ability to work independently, within a team environment * General knowledge of reimbursement principles, pharmacy operations and medical claims * General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred * Global understanding of commercial and government payers preferred * Demonstrated proficiency with Microsoft Excel (intermediate level), Outlook and Word 6 hours ago - save job - original job Apply On Company Site Other jobs you may like Neuroscience Medical Science Liaison - MO/IA/... Syneos Health Commerical Solutions - Kansas City, KS 30+ days ago Family School Liaison Hickman Mills C-1 Public Schools - Kansas City, MO 30+ days ago Nurse Liaison Surgical Services SLH PT Days Saint Luke's Health System - Kansas City, MO 30+ days ago Field Support Liaison TrialCard, Inc - Kansas City, MO 6 hours ago Parent Liaison Kansas City, Kansas Public Schools - Kansas City, KS 8 days ago * Specialty Pharmacy Liaison jobs in Kansas City, MO * Jobs at TrialCard in Kansas City, MO * Specialty Pharmacy Liaison salaries in Kansas City, MO TrialCard, Inc 5 reviews Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume