Medication Access Coordinator

Trinity Health

10d•Onsite

About The Position

he Population Health Pharmacy Technician is a unique role that provides integrated support to patients, pharmacists, and other clinicians by facilitating our medication adherence and prescription assistance programs and is related to the growth and maintenance of PHSO Pharmacy business operations. The Population Health Pharmacy Technician works closely with patients and clinicians to deliver a full continuum of medication adherence support utilizing various tools and applications. The Population Health Pharmacy Technician is also responsible for performing assigned tasks that require ability for independent judgment and increased competency skills relating to patient medication therapy. As a key individual providing pharmacy services, the Population Health Pharmacy Technician is responsible for liaising between patients, pharmacies, payers, and providers with high accountability for follow through and task management.

Requirements

High School diploma or GED required
Must be at least 18 years of age
Iowa Board of Pharmacy Certified Pharmacy Technician License with 2-3 years of pharmacy experience. (Community, Inpatient, Ambulatory, Insurance. Etc.), or Alternative medical licensure may alsowill be considered, (i.e., social worker, etc.)
Knowledge of health benefit investigations, prior authorization support, patient financial assistance, medical terminology, diagnoses, and procedures
Proficient in Microsoft Office products
Completion of Mandatory Reporter abuse training for child and dependent adult abuse within three (3) months of hire
Must be able to pass a pre-employment drug screening test at time of hire
Work onsite with regular and predictable attendance
Maneuver within the physical work environment with some bending, stooping, reaching, and light lifting
Constantly able to use hands and fingers to type, write, and file.
Frequently able to use near vision for viewing computer monitor and written materials.
Occasionally required to detect unusual odors that could indicate environmental issues
Ability to travel to assigned regions, other MercyOne or community facilities.
May drive a MercyOne vehicle, rental or own vehicle

Nice To Haves

Knowledge of Electronic Medical Records systems highly preferred
Ability to work across business lines effectively and communicate clearly with colleagues and patients/customers
Knowledge of health care payers, value-based contracts, and CMS star ratings is highly preferred

Responsibilities

Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information
Review payer reports and determine appropriate course of action for management
Determine daily task priorities based on business need
Is flexible and able to adapt to changes, resolve unexpected problems, and handle different tasks and responsibilities without compromising the quality of work
Triage patients need and assign to appropriate staff
Organize work according to patient/customer needs
Communicate with external entities as needed
Perform all insurance benefit investigation, review claim rejects, overrides, etc.
Work with patients to find financial aid (grants, manufacturing programs, discount cards etc.) to ensure they have access to the medications they need
Provide direct support to patients to ensure that they are supported through their therapy regimen and achieve their intended outcome
Ability to prioritize patient needs
Serve as a liaison between clinicians, care coordinators, pharmacy, and assistance programs to ensure patient support throughout the treatment of their care
Independently identify and/or manage designated tasks and prioritize work
Create and/or maintain detailed resources and documents related to business operations and workflow
Coordinate patient care activities and scheduling
Use independent judgment and provide recommendations to care team members and clinicians as appropriate
Access, input, and retrieve information through the Care Management computer network to maintain accurate records
Participate in scheduled PSHO meetings
Comply with established procedures, rules, and regulations
Conduct outreach calls to patient and PHSO staff
Handle patient issues in a calm manner and referring them to the pharmacist accordingly and notify the pharmacist of any issues
Promote teamwork, professional services, and clear communication
Recognize and adhere to the scope / limitations of job requirements
Perform other related duties as assigned