Pharmacy Intake Specialist

The Pharmacy Intake Specialist is responsible for receiving, processing, and documenting prescription referrals while ensuring accurate patient, insurance, and provider information. This role serves as a key liaison between patients, healthcare providers, insurance companies, and pharmacy staff to facilitate timely prescription fulfillment and exceptional patient service.

Essential Duties and Responsibilities

• Receive and process incoming prescription referrals via phone, fax, email, and electronic systems.
• Accurately enter patient demographics, prescription, and insurance information into pharmacy systems.
• Verify the completeness and accuracy of referral documentation.
• Contact patients, healthcare providers, and insurance companies to obtain missing information as needed.
• Perform insurance verification and obtain benefit information.
• Communicate with physician offices regarding prescription clarifications, prior authorizations, and required documentation.
• Schedule patient onboarding calls and coordinate the intake process.
• Maintain detailed and accurate records in compliance with pharmacy regulations and HIPAA requirements.
• Monitor intake queues and prioritize referrals to ensure timely processing.
• Provide exceptional customer service to patients, providers, and internal team members.
• Collaborate with pharmacists, billing specialists, and other departments to ensure efficient workflow.
• Assist with special projects and other duties as assigned.

Required Qualifications

• High school diploma or equivalent required.
• Experience with specialty pharmacy or mail-order pharmacy operations.
• CareTend experience required.
• Familiarity with pharmacy management systems, EMRs, or healthcare databases.
• Proficiency with insurance verification, prior authorizations, or benefits investigations.
• Minimum of 2 years of experience in a specialty pharmacy environment.
• Strong data entry skills with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Knowledge of HIPAA regulations and patient confidentiality standards.