Medication Access Coordinator I

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Responsible for securing prior authorization for medications.

• Conduct benefit investigations to assess coverage for prescribed treatments and serve as a liaison for all medication prior authorization issues with insurance companies, departments, and patients.

• Serve as a subject matter expert on patient medication assistance foundations, free drug, and drug replacement programs for the uninsured, under-insured, and indigent populations.

• Complete prior authorization processes and document referrals for all medications reviewed in accordance with appropriate third-party payer criteria.

• Perform research and follow-up activities within established timeframes.

• Communicate with the care team to provide updates on authorization status.

• Stay informed about all available patient assistance programs and their eligibility criteria.

• Identify suitable medication assistance programs after discussing the affordability of prescribed treatments with patients.

• Ensure the accurate completion and necessary signatures on relevant paperwork for enrollment in assistance programs.

• Monitor fund award expiration dates and exhaustion, re-applying as needed to prevent lapses in therapies.

• Educate providers and patients about specialty services and their benefits for overall patient care.

• Expand the specialty pharmacy’s patient population.

• Move from areas with low workload to those with high workload as required to provide optimal patient services.

• Responsible for fulfilling all job-specific responsibilities and adhering to all organizational policies and procedures.

⛳️ Requirements

• High School Diploma or Equivalent (GED) - (Required)

• Minimum of 6 years of relevant experience* (Required)

• Strong communication skills

• Proficient computer literacy

• Excellent customer service skills

• Knowledge of the healthcare industry

• Familiarity with medical terminology

• Strong organizational skills in the workplace

🏝️ Benefits

• We provide healthcare benefits for both full-time and part-time positions starting from day one, which includes vision, dental, and coverage for domestic partners.

• We foster an environment of collaboration, cooperation, and collegiality.