Medication Access Coordinator - Full-time

The Nebraska Medical Center•Omaha, NE

3d•Remote

About The Position

Nebraska Medicine is seeking a talented individual to join their Retail Pharmacy department as a Medication Access Coordinator. This is a remote position, but employees must reside in either Nebraska or Iowa. The role is designed for an experienced Registered Pharmacy Technician with retail pharmacy insurance experience or a Medicaid/Medicare/Private Pay Insurance professional with at least one year of pharmacy technician experience. Experience in medical billing, home infusion, and outpatient infusion services is highly preferred. This role requires strong problem-solving skills to advocate for patients, proficiency in pharmacy medications and processes, and technical skills to navigate multiple computer systems. It is a desk-based position in a fast-paced environment where documentation and follow-up are crucial.

Requirements

Minimum of three years healthcare and/or insurance/third party reimbursement experience required.
High school education or equivalent required.
Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.
Ability to solve problems independently and must be strongly vested in team management required.
Ability to multi-task and excel in a dynamic environment required.
Experience with various computer mainframe, network, web based and payer applications required.
Must register with the State of NE as a pharmacy technician required.
Must complete Pharmacy Technician Certification within one year required.

Nice To Haves

Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.
Associate's degree in business, healthcare or related field preferred.
Bi-lingual preferred.
Prior Authorization experience in specialty or retail pharmacy preferred.
340B knowledge and experience preferred.
Apexus 340B OnDemand Certificate preferred.

Responsibilities

Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits.
Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities.
Provide a Face-to-Face/virtual bedside-oriented service that delivers comprehensive fiscal options to patients.
Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third parties.
Verify eligibility, pharmacy benefit provisions and support the appeals process.