Ardon Health specialty pharmacy services

Ardon Health

Special Handling Specialist

Job Title
Special Handling Specialist
Job ID
27426264
Location
Portland,  OR 97220
Other Location
Description

Join our team

As we continue to grow, we are seeking talented individuals to join our award-winning specialty pharmacy team.

 

Are you looking for a dynamic career opportunity where you can make a difference?

 

At Ardon, we are passionate about our mission to inspire people and improve lives through the delivery of high-quality, compassionate health care services.

 

We are patient-centric and maintain an innovative, collaborative and positive work environment. We are committed to cultivating talent and fostering growth within our organization.

 

Click here to learn more about current career opportunities at Ardon

 

 

“I love this company and the mission. It has allowed me to grow my skills and continue my passion for helping others” – Ardon employee

 

*Quote from Ardon employee satisfaction survey

 

 

 

Based in Portland, Oregon, Ardon Health offers specialty pharmacy care with a human touch. We embrace the full health ecosystem —because getting better isn't just about filling a prescription. To foster good health, we connect patients, providers, manufacturers, payers and the community with healthy tools and resources. We remove barriers to care and provide patients with the education, clinical care and supportive services they need to adhere to their prescribed medication therapy. Our high-touch service model is designed to optimize patient outcomes.

Ardon offers a unique and modern work environment that blends teamwork, excellence and open communication. We are seeking a Special Handling Specialist. This role is responsible for providing exceptional customer service to specialty pharmacy programs and patients by responding to telephone calls and providing outreach. Special Handling Specialists will be experts in all aspects of manufacturer special programs, claims processing, benefits investigation, copay assistance programs, as well as liaison between third party providers, patients, HUBs, manufacturers, and medical providers. Assists team with troubleshooting and resolution of escalated inquiries. Maintains current knowledge of all manufacturer programs and compliance requirements.  

 

 

Primary Functions:

  1. Electronically submits prescription insurance claims and completes benefits investigations
  2. Acts as liaison between company, patients, physician’s office, manufacturer, HUBs, and third party payers
  3. Responsible for reviewing new prescriptions and making sure all necessary information including insurance verification is available to process orders.
  4. Explains all company programs and services to patients and physician’s office staff.
  5. Communicates with patients as needed based on prescription refills and refers any medication or illness related questions or concerns to a board licensed healthcare professional, including but not limited to nurses, pharmacists, and supervised pharmacy interns.
  6. Responsible for scheduling prescription refills utilizing the pharmacy software.
  7. Maintains documentation of calls to and from patients.
  8. Contacts patients to schedule deliveries, confirm addresses, inform of any co-payments involved, and notify of payment responsibilities.
  9. Communicates patient status to physician’s offices, clinics, HUBs, and manufacturers.
  10. Maintains patient confidentiality.
  11. Utilizes operating systems and tools to help manage patient therapy and refill compliance.
  12. Processes and follows up on payer denials, consulting with the insurance plan and patient as needed.
  13. Acts as a resource to the call center to troubleshoot issues and inquiries for manufacturer programs.
  14. Manages documentation and tasks associated with program specific mailers including letters and educational materials.
  15. Communicates with patients and clients regarding service requests.
  16. Initiates timely, accurate, courteous, and concise responses to escalated inquiries.
  17. Partners with manufacturer/HUB to ensure streamlined communication and minimize service interruptions.
  18. Assists with ADE reporting when needed.
  19. Monitors and reports to supervisor and team any changes in manufacturer program rules that impact specialty pharmacy program adherence.
  20. Supports duties of resource team, call center, Billing Specialist, and Benefits Coordinator when needed.
  21. Resolves complex issues and concerns for dedicated accounts, and provides educational information to client, business, and channel partners. 
  22. Works with HUB for limited distribution drug referrals.
  23. Assists with technical training and serves as point of contact for testing new processes; aids in developing procedures and job aids as needed.
  24. Participates in and assists with manufacturer program implementation.
  25. Manages manufacturer and payer program reporting when applicable.   
  26. Actively participates and provides support as needed to leadership and quality program staff to ensure activities related to the company’s quality management program and quality improvement activities maintain priority focus and are effectively executed. This may include but is not limited to activities that promote objective and systematic measurement, monitoring, and evaluation of services and defined Quality Improvement Projects (QIPs) that may result from such efforts.
  27. Complies with the company’s Human Resources policies, Employee Handbook, Code of Conduct, and all department policies and procedures, including protecting confidential company, employee, and customer information; attending work punctually and regularly; and adhering to good safety practices in all activities.
  28. Performs other duties and responsibilities as assigned.

 

What is a day at Ardon like? Our progressive work environment embodies the notion that life is meant to be shared and lived well, through hard work, compassion, camaraderie and community. We work to build trusted relationships and to be a resource that patients can turn to for help. We value this responsibility and take great pride in the opportunity we have to meet the specialty pharmacy needs of our customers. Team Ardon has a passion for providing great service and helping others.

When we aren’t busy helping patients, we can be found enjoying team meals, celebrating birthdays, and company milestones. We routinely integrate foosball and bean bag toss into our workdays and often incorporate fun team activities into company events. We also volunteer together to support patient advocacy organizations.

Ardon Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual identification or orientation, national origin, marital status, disability, veteran status or any other status protected by law.

 

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