Retina Consultants of Texas
Retina Consultants of Texas (RCTX) is seeking a Drug Coordinator to act as the patient’s advocate to ensure that prescribed drug therapy and pharmacy care plans are followed as directed. This role will provide assistance by coordinating resources to patients in need of copay assistance programs to ensure successful drug therapy outcomes. The Drug Coordinator answers and resolves patient inquiries promptly and establishes and maintains strong customer relationships with physicians and patients throughout the entire process. Candidate must be able to support variable hours (Monday - Friday, 8:00 am to 5:30 pm).
RCTX is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world‑renowned physicians leading the world in retinal care. We serve two major metropolitan markets and their extensions, allowing us to best serve our patients, referral sources, and our own team of physicians. RCTX invests heavily in diagnostic equipment, providing state‑of‑the‑art retina imaging, laser, and diagnostic capabilities to each patient. Combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations, we deliver the highest quality patient experience.
We are guided by our core values of Hard Work, Authentic Care, and Innovation. By investing in our people, we empower them to provide the highest quality patient experience.
Benefits
Employee‑Paid Benefits: Medical, Dental, and Vision; short‑term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre‑taxed contributions, 401(k) retirement savings contributions (both Roth and Traditional options) from the starting date of hire.
Employer‑Paid Benefits: Long‑term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, 8 paid holidays, and 1 floating holiday annually.
Pay Pay Rate is $18.00+ per hour and eligible for overtime.
Responsibilities
Conduct benefit investigations, verify insurance benefits for patient and submit and obtain prior authorizations as required by payer; obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval.
Accurately review, obtain, enter and maintain co‑pay assistance data as required in client database and patient files; utilize the client database to monitor outstanding items on each patient to ensure tasks are complete and determine the current status.
Participate in conference calls as needed with Drug Vendor Representatives, regarding drug orders and status of alternative funding.
Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient.
Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Vendor Representatives, and pharmacies; may serve as single point of contact for an assigned group of prescribers.
Identify and report events as required by the Revenue Cycle Manager for specified medication; recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer.
Educate patients, prescribers, and others regarding program requirements, and facilitate referrals.
Maintain good housekeeping techniques, adhere to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures.
Skills & Competencies
Computer proficiency in MS Office applications; Electronic Health Records/Practice Management experience is a plus.
Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels.
Ability to manage multiple priorities in a fast‑paced environment and meet deadlines.
Organized, detail‑oriented with good analytical skills.
Knowledge of third‑party billing, coding, medical terminology, prior authorizations, and appeals preferred.
Education Requirements
High School diploma or equivalent required.
Bachelor’s Degree preferred.
Experience Requirements
4 to 6 years of experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement preferred.
Health Insurance claims or patient accounting experience a plus.
Physical Abilities
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.
Job Details
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Other
Industries: Medical Practices
RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law.
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RCTX is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world‑renowned physicians leading the world in retinal care. We serve two major metropolitan markets and their extensions, allowing us to best serve our patients, referral sources, and our own team of physicians. RCTX invests heavily in diagnostic equipment, providing state‑of‑the‑art retina imaging, laser, and diagnostic capabilities to each patient. Combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations, we deliver the highest quality patient experience.
We are guided by our core values of Hard Work, Authentic Care, and Innovation. By investing in our people, we empower them to provide the highest quality patient experience.
Benefits
Employee‑Paid Benefits: Medical, Dental, and Vision; short‑term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre‑taxed contributions, 401(k) retirement savings contributions (both Roth and Traditional options) from the starting date of hire.
Employer‑Paid Benefits: Long‑term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, 8 paid holidays, and 1 floating holiday annually.
Pay Pay Rate is $18.00+ per hour and eligible for overtime.
Responsibilities
Conduct benefit investigations, verify insurance benefits for patient and submit and obtain prior authorizations as required by payer; obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval.
Accurately review, obtain, enter and maintain co‑pay assistance data as required in client database and patient files; utilize the client database to monitor outstanding items on each patient to ensure tasks are complete and determine the current status.
Participate in conference calls as needed with Drug Vendor Representatives, regarding drug orders and status of alternative funding.
Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient.
Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Vendor Representatives, and pharmacies; may serve as single point of contact for an assigned group of prescribers.
Identify and report events as required by the Revenue Cycle Manager for specified medication; recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer.
Educate patients, prescribers, and others regarding program requirements, and facilitate referrals.
Maintain good housekeeping techniques, adhere to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures.
Skills & Competencies
Computer proficiency in MS Office applications; Electronic Health Records/Practice Management experience is a plus.
Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels.
Ability to manage multiple priorities in a fast‑paced environment and meet deadlines.
Organized, detail‑oriented with good analytical skills.
Knowledge of third‑party billing, coding, medical terminology, prior authorizations, and appeals preferred.
Education Requirements
High School diploma or equivalent required.
Bachelor’s Degree preferred.
Experience Requirements
4 to 6 years of experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement preferred.
Health Insurance claims or patient accounting experience a plus.
Physical Abilities
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.
Job Details
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Other
Industries: Medical Practices
RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law.
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