Medication Access Specialist
FROEDTERT HEALTH GROUP
MENOMONEE FALLS, WI
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JOB DETAILS
LOCATION
MENOMONEE FALLS, WI
POSTED
30+ days ago
US:WI:MENOMONEE FALLS at our INTEGRATED SERVICE CENTER facility. This
job is HYBRID. $5,000 sign on bonus! FTE: 1.000000 Shift: 1 Schedule:
Monday-Friday working first shift, no weekends or holidays Job Summary:
The Medication Access Specialist is a dedicated member of the Pharmacy
Department team who is responsible for assuring the financial viability
of patients as they flow through the continuum of care. Acts as the
liaison between patient, physician office, pharmacy, insurance
providers, and other third parties to initiate and resolve appeals, as
needed Acts as a liaison between patients, foundations, manufactures or
necessary parties, to obtain financial prescription assistance for
patients in need Responsible for obtaining medication insurance coverage
or assistance and benefit information, authorizations of medications,
monitors patient's insurance status, assists in facilitating medication
refill requests, and communicates insurance issues to the treatment
team. Reviews electronic medical record for patients to collect any
pertinent information needed to submit, appeal, and resolve prior
authorizations and medication refills requests (such as diagnoses, past
medical history, past prescription history, and other information)
Assists in obtaining updated prescription authorization for existing
patients Assists the physician's office in obtaining and completing any
and all documentation necessary to complete prior authorization and
medication refill requests Updates the patient, physician's office, any
necessary parties through multiple methods as appropriate (include
telephone, in-basket messaging, and electronic medical record),
regarding responses and outcomes of prior authorizations and medication
refills Requires appropriate follow up with physician's office and any
necessary parties in regards to status of prior authorizations and
medication refill requests Read, interpret, and effectively communicate
information from insurance documents, electronic medical records,
patient charts Effectively participate in both written and verbal
communication through multiple means (such as electronic health record,
in basket messages, phone calls, emails, etc.) Pro blem solve as needed
within a timely manner Effective time management of tasks and
responsibilities. The ability to discern when it is appropriate to hand
off a tasks Detail oriented with ability to effectively and efficiently
multi-task Ability to work in a team environment Other duties as
assigned EXPERIENCE DESCRIPTION: A minimum of 3 years of experience in
pharmacy, healthcare, managed care, or other health insurance
environment is required. Knowledge of health insurance and pharmacy
insurance benefit verification, health insurance terminology, billing,
managed care contracting, hospital reimbursement, and hospital admitting
and registrations practices required. EDUCATION DESCRIPTION: High School
diploma or equivalent is required. 4 year degree preferred. Graduate of
ASHP accredited pharmacy tech training program preferred. SPECIAL SKILLS
DESCRIPTION: Proven attention to detail. Experience with third party
insurance and medication/co-pay assistance programs. Effective
interpersonal skills, including the ability to develop collaborative
alliances, promote teamwork and ensure a high degree of internal and
external customer satisfaction. Outstanding organizational and follow-up
skills. Experience with various computer systems and programs (such as
EPIC, insurance portals, McKesson Enterprise, etc.). Quick learner.
Ability to work independently and take programmatic initiative. Ability
to function in a fast paced and changing environment and balance
multiple To view the full job description please use the link below.
https://www.aplitrak.com/?adid=YmJnZW5lcmljLjg0Mjg1Ljg3NzBAZnJvZWR0ZXJ0Y29tcC5hcGxpdHJhay5jb20
* APPLICATION INSTRUCTIONS Apply Online:
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About the Company
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