Medication Access Specialist

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

📋 Description

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

• Perform benefits investigations to assess patient coverage, out-of-pocket expenses, and available financial assistance options.

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

• Collect and evaluate documentation for prior authorization requests.

• Manage appeals for coverage denials and coordinate subsequent steps with clinic personnel.

• Communicate with clinics to gather information and direction for prior authorization submissions.

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

• Offer pharmacy recommendations.

• Relay coverage determinations and facilitate patient follow-ups on behalf of client clinics.

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

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

• Contribute to process enhancements and provide operational feedback to Visante team members and leadership.

• Perform additional duties as assigned.

⛳️ Requirements

• High school diploma or equivalent qualification.

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

• Two years of experience in the healthcare revenue cycle, including medication authorizations and preadmission/precertification processes (preferred).

• Proficiency in retail pharmacy PBM adjudication to ensure accurate claims processing and reimbursement.

• Skilled in using CoverMyMeds® for prior authorization submissions.

• State Board of Pharmacy Technician registration to be obtained within 2 months of the start date, if required by state regulations.

• Active CPhT certification from either PTCB or NHA (preferred).

• Strong decision-making and judgment skills.

• Ability to handle competing demands, prioritize tasks, and meet deadlines with urgency.

• Excellent client relationship, interpersonal, and team collaboration skills.

• Professional and clear verbal and written communication abilities.

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

• Strong analytical and creative problem-solving skills.

• Capability to maintain confidentiality and accuracy.

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

🏝️ Benefits

• Competitive salary and benefits for this full-time salaried, non-exempt position.