Specialty Pharmacy Liaison

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This position acts as a liaison between the specialty/retail pharmacy and the prescribers to document, submit, communicate outcomes and appeal, if necessary, all pharmacy/medical prior authorizations. Is also involved in all aspects of obtaining patient access to prescribed medication. Essential Responsibilities: 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance. 4. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly, maintains frequent phone contact with patient, provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. 5. Serves as the direct patient and provider contact for pharmacy benefit information, clinical and program information.