Medication Access Coordinator

Trinity Health • Clive, IA

4d • Onsite

About The Position

The Medication Access Coordinator plays a crucial role in ensuring patients have access to the medications they need. This position involves working with patients to identify financial assistance options, such as grants, manufacturing programs, and discount cards. The coordinator also provides direct support to patients throughout their therapy regimen to help them achieve their intended outcomes. A key aspect of this role is serving as a liaison between clinicians, care coordinators, pharmacy, and assistance programs to ensure comprehensive patient support throughout their treatment. The coordinator will manage designated tasks, prioritize work, and create resources related to business operations. They will also coordinate patient care activities and scheduling, provide medication access recommendations to care teams, and maintain accurate records by accessing and inputting information through the Care Management computer network. Participation in PSHO meetings, conducting outreach calls, and handling patient issues calmly and referring them to the pharmacist when necessary are also key responsibilities. The role emphasizes teamwork, professional services, clear communication, and adherence to job scope and limitations, while maintaining a working knowledge of applicable laws, regulations, and organizational policies.

Requirements

• High School diploma or GED required
• Must be at least 18 years of age
• Proficient in Microsoft Office products
• Ability to work across business lines effectively and communicate clearly with colleagues and patients/customers
• Completion of Mandatory Reporter abuse training for child and dependent adult abuse within three (3) months of hire
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Nice To Haves

• Iowa Board of Pharmacy Certified Pharmacy Technician (CPhT) License preferred, or alternative medical licensure may also be considered, (i.e., social worker, etc.)
• Knowledge of health benefit investigations, prior authorization support, patient financial assistance, medical terminology, diagnoses, and procedures preferred

Responsibilities

• Perform all insurance benefit investigations, review of 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
• Serve as a liaison between clinicians, care coordinators, pharmacy, and assistance programs to ensure patient support throughout the treatment of their care
• Manages designated tasks and prioritize work
• Create detailed resources and documents related to business operations and workflow as assigned
• Coordinate patient care activities and scheduling as assigned
• Provide medication access 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
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Benefits

• Confidentiality with respect to patient/client care
• Compliance with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI)
• Follow HIPAA guidelines regarding readily identifiable protected health information
• Flexibility and ability to adapt to changes, resolve unexpected problems, and handle different tasks and responsibilities without compromising the quality of work
• Equal Opportunity Employer status

What This Job Offers

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