Medication Access Coordinator I

Geisinger • Danville, PA

2d • Onsite

About The Position

The Medication Access Coordinator I obtains prior authorizations for medications, investigates benefit coverage for prescribed treatments, and serves as a liaison with insurance companies, departments, patients, and care teams on medication authorization matters. The role also serves as a subject matter expert on medication assistance foundations and free-drug and drug-replacement programs for uninsured, under-insured, and indigent patients, while maintaining current knowledge of pharmacy reimbursement methodologies.

The position is based at Geisinger Community Health Services & Sleep Disorder Center and works day shifts for 40 scheduled hours per week. Work is typically performed in an office environment. The coordinator may move between areas with lighter and heavier workloads as needed to support patient services.

Requirements

• High school diploma or equivalent (GED).
• At least 6 years of relevant experience.
• Communication skills.
• Computer literacy.
• Customer service skills.
• Knowledge of the healthcare industry.
• Medical terminology knowledge.
• Workplace organization skills.

Responsibilities

• Complete prior authorizations and document referrals for reviewed medications using appropriate third-party payer criteria.
• Conduct research and follow-up within established timeframes and maintain knowledge of changes to third-party payer authorization requirements.
• Communicate authorization status details to the care team.
• Maintain knowledge of available patient assistance programs and their eligibility requirements.
• Discuss treatment affordability with patients and identify appropriate medication assistance programs.
• Ensure required paperwork for assistance program enrollment is completed accurately and has the appropriate signatures.
• Track assistance fund award end dates and fund exhaustion, and reapply as necessary to avoid interruptions in therapy.
• Communicate the status of assistance applications to the care team.
• Educate providers and patients about specialty services and how these services improve patient care.
• Help grow the specialty pharmacy’s patient population.
• Float from areas with low workload to areas with heavy workload as needed to provide patient services.
• Satisfy job-specific obligations and comply with organizational policies and procedures.

Benefits

• Healthcare benefits for full-time and part-time positions from day one, including vision, dental, and domestic partner coverage.
• A collaborative, cooperative, and collegial work atmosphere.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED