Medication Access Specialist

UCHealth•Aurora, CO

18h•Remote

About The Position

The Medication Access Specialist provides medication access support to patients by completing prior authorization requests, coordinating co-pay and medication assistance programs, investigating benefits, processing refill renewal requests, assisting with health insurance enrollment, and managing prior authorization and prescription renewal dates. The role coordinates with insurance representatives, clinical staff, and patients to process medication requests within required timelines and compiles clinical documentation for prior authorizations and refill renewals. The specialist also enrolls eligible patients in manufacturer assistance programs, shares information about health insurance coverage through the Health Care Exchanges, and accurately records patient medication lists, allergies, immunizations, and diagnoses. The position requires critical thinking, decisive judgment, minimal supervision, and effective performance in a fast-paced environment. This is a full-time remote opportunity for candidates who reside in Colorado, based in the Patient Line Refill Center. The schedule is 80 hours per two-week pay period on day shift. Pay is $23.49–$30.53 per hour, dependent on relevant experience.

Requirements

High school diploma or GED.
PHATP (Pharmacy Technician Provisional) certification from the State Board of Pharmacy, or a State Intern license from the State Board of Pharmacy.
PHAT (Pharmacy Technician) certification from the State Board of Pharmacy and Pharmacy Technician Certification (CPhT) by the Pharmacy Technician Certification Board (PTCB), or equivalent, within 18 months of hire.
Must reside in Colorado.

Nice To Haves

Two years of Pharmacy Technician experience, or one year of experience performing prior authorizations or refill renewals.

Responsibilities

Coordinate with third-party insurance, clinical staff, and patients to process medication prior authorization requests within prescribed timelines.
Compile clinical documentation for prior authorizations, such as progress notes, laboratory results, diagnosis codes, previously tried therapies, ASO criteria, and doctor visits.
Compile clinical information for pharmacists and nurses to use when processing refill renewal requests through protocol.
Enroll eligible patients in manufacturer patient assistance and co-pay programs.
Provide patients with information about health care insurance coverage opportunities available through the Health Care Exchanges.
Accurately obtain and record patients’ home medication lists, allergies, immunizations, and medical diagnoses.
Manage prior authorization and prescription renewal dates.
Use critical thinking and decisive judgment, work with minimal supervision, and take appropriate action in a fast-paced environment.

Benefits

Three-Year Incentive Bonus.
Annual merit pay increase based on performance.
Annual market reviews of positions and base pay adjustments as needed.
Medical, dental, and vision coverage.
24/7 mental health and well-being support for employees and dependents.
Discounted gym memberships and fitness resources.
Free Care.com membership.
Voluntary benefits, including accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
Paid time off (PTO), paid family and medical leave, and leaves of absence.
Employer-provided basic life and accidental death and dismemberment coverage, with buy-up options.
Employer-provided short-term and long-term disability coverage, with a buy-up option.
403(b) plan with employer matching contribution; an additional 457(b) plan may be available.
Flexible spending accounts for health care and dependent day care; a health savings account is available with enrollment in a high-deductible medical plan.
Access to academic degrees and certificate programs.
Up to 100% of tuition, books, and fees paid for specific educational degrees; other programs may qualify for up to $10,000 per year prepaid or up to $5,250 per year in tuition reimbursement.
Access to LinkedIn Learning and internal professional development opportunities.
Free assistance navigating the Public Service Loan Forgiveness program and submitting federal student loans for forgiveness.