Menomonee Falls, WI18 days ago
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.) Problem solve as needed within a timely manner Effective time management of tasks and responsibilities. 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.