Medication Access Specialist

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

📋 Description

• Oversee the medication intake process and act as a liaison between clinic providers, clinic staff, pharmacies, and patients.

• Perform benefits investigations to ascertain patient coverage, out-of-pocket expenses, and potential financial aid.

• Identify and suggest patient assistance programs, copay cards, grants, or funding opportunities.

• Collect and assess documentation for prior authorization submissions and escalate appeals for coverage denials.

• Coordinate follow-up actions for insurance denial cases with clinic staff.

• Communicate with clinics to gather information and guidance for prior authorization requests.

• Engage in patient outreach regarding medication coverage and available financial assistance options.

• Provide recommendations for pharmacies.

• Relay coverage determinations and arrange patient follow-up on behalf of client clinics.

• Ensure accurate and timely documentation in client EMR systems and Visante tracking tools.

• Assist in the onboarding and training of client-employed medication access specialists.

• Contribute to enhancements in processes.

• Collaborate with Visante team members and leadership to offer operational insights and feedback.

• Perform additional duties as assigned.

⛳️ Requirements

• High school diploma or equivalent is required.

• At least three years of pharmacy experience in healthcare or with pharmacy providers focusing on medication access.

• Preferred two years of experience in healthcare revenue cycle, including medication authorizations and preadmission/precertification processes.

• Proficient in retail pharmacy PBM adjudication.

• Skilled in using CoverMyMeds® for prior authorization submissions.

• State Board of Pharmacy Technician registration must be obtained within two months of the start date, as required by state law.

• Active CPhT certification through either PTCB or NHA is preferred.

• Strong judgment and decision-making abilities.

• Capable of managing multiple demands, prioritizing tasks, and meeting deadlines with urgency.

• Excellent interpersonal skills, team collaboration, and both verbal and written communication abilities.

• Expertise in medication reimbursement, prior authorization processes, and healthcare coding.

• Strong analytical and creative problem-solving skills.

• Ability to maintain confidentiality and uphold accuracy.

• Proficient in Office Suite, including Word, Excel, and PowerPoint.

🏝️ Benefits

• Competitive salary and benefits package.

• Full-time, salaried, non-exempt position.

• Fully remote work-from-home opportunity.