Medication Access Coordinator

No detailed description available.

• Improves patient service experience and maximizes pharmacy revenue through provision of prior authorization services for high-cost medications.
• Completes prior authorization forms, negotiates authorization status with insurers, tracks prescription approval status, and alerts clinical pharmacists of denials or nonresponse.
• Facilitates enrollment of patients in patient assistance programs and collaborates with social services and case management.
• Assists pharmacists with preparing letters of medical necessity and coordinating peer-to-peer conferences.
• Expedites clinic workflow and enhances patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff.
• Communicates and collaborates regarding patient therapy interruptions, additional therapy monitoring requirements, and alternative care delivery setting options.
• Facilitates adherence to medications by ensuring patients receive prescribed medications in a timely manner and makes scheduled calls to obtain clinical information and process prescription refills.
• Documents and triages patient problems with therapy to the appropriate pharmacist, assures documentation of problem and follow-up, and assists with coordination of filling, packaging, and delivery of prescriptions.
• Observes and understands prescribing trends within ambulatory clinics to identify areas for improved specialty pharmacy contracting.
• Develops marketing materials and communication strategies under the guidance of the pharmacy management team to increase patient recruitment and prescription capture rate of high-cost take-home medications.
• Assists with the development and implementation of policies and procedures to ensure reimbursement of high-cost medications.
• Facilitates staff training and competency, education, and practice advancement, including training new staff members and coordinating with the manager to develop and maintain a training and competency program for specialty pharmacy technician staff.

• High School Grad or Equiv Required
• Five or more years of Work Experience Required
• Experience with pharmacy benefits plans and secondary insurance providers (copay assistance).
• Accuracy and attention to detail for long periods of time; excellent organization skills.
• Ability to interpret prescription and knowledge of the generic names of medications and medical terminology; vast understanding of mathematical principles to perform pharmaceutical calculations.
• Ability to critically think through situations with good problem-solving skills
• Good customer service skills and values teamwork.
• Must be able to multitask and be flexible in moving from task to task within the department while maintaining composure and staying organized.
• Basic to moderate proficiency skill set in MS Office: Word, Excel and Outlook.

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• Pet Insurance

Serving patients since 1980, UChicago Medicine AdventHealth GlenOaks features 143 licensed beds, a Level II trauma center, and a therapeutic day school and transition program.