Medication Access Coordinator I

Geisinger • Danville, PA

16h • Onsite

About The Position

The Medication Access Coordinator I obtains prior authorization for medications, completes benefit investigations to determine coverage for prescribed treatment, and serves as a liaison for medication prior authorization matters involving insurance companies, departments, and patients. The role is also a subject matter resource for patient medication assistance foundations and free-drug and drug-replacement programs for uninsured, under-insured, and indigent populations. The coordinator maintains updated knowledge of pharmacy reimbursement methodologies.

The position is based at Geisinger Community Health Services & Sleep Disorder Center and is typically performed in an office environment. It is a regular, non-exempt position scheduled for 40 hours per week on the day shift. The coordinator may move between areas as workload requires and is accountable for fulfilling job-specific obligations and following organizational policies and procedures.

Requirements

• High school diploma or equivalent (GED).
• At least 6 years of relevant experience; the posting notes relevant experience may be a combination of related work experience and degree obtained, with an associate’s degree equated to 2 years and a bachelor’s degree equated to 4 years.
• Skills in communication, computer literacy, customer service, healthcare industry knowledge, medical terminology, and workplace organization.

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 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 includes appropriate signatures.
• Track fund award end dates and exhaustion, and reapply as needed to avoid interruptions in therapy.
• Communicate assistance application status to the care team.
• Educate providers and patients about specialty services and how these services improve patient care, and 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