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.

Requirements

• 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.
• Maintain accurate, organized patient records from initial contact through benefit verification, therapy initiation, follow-up, and case closure.
• Use multiple software platforms to manage authorizations, medication profiles, and patient communication.
• Assist with patient questions and serve as backup during high-volume periods.
• Identify and document case concerns, escalations, or process gaps for leadership review.
• Uphold patient confidentiality and follow internal policies and accreditation standards.
• Complete additional duties as assigned.

Benefits

• Medical
• Vision
• Dental
• Well-being and behavioral health programs
• 401(k)
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays