MEDICATION ACCESS SPECIALIST

CHRIST COMMUNITY HEALTH SERVICES • Memphis, TN

3d

About The Position

Christ Community Health Services (CCHS), a faith-based Federally Qualified Health Center serving approximately 60,000 patients each year across its Memphis health centers, is seeking a knowledgeable, patient-focused Medication Access Specialist. The role coordinates and processes medication prior-authorization requests, working closely with CCHS providers, patients, retail pharmacies, and insurance companies to support timely access to prescribed medications.

The specialist submits and tracks authorization documentation, follows up on pending requests and denials, resolves prescription adjudication and co-billing issues, communicates outcomes, and maintains accurate records in accordance with applicable requirements and organizational standards. The position also supports pharmacy workflow and patient service as needed. It is performed primarily in an office environment, though onsite work may be required for pharmacy duties, training, staff meetings, or other departmental needs.

Requirements

• High school diploma or GED.
• Current Tennessee Pharmacy Technician registration or license in good standing.
• Current Certified Pharmacy Technician credential (CPhT) in good standing.
• At least two years of experience in a retail or hospital pharmacy, or at least one year of experience as a pharmacy technician within Christ Community Health Services.
• Proficiency with Microsoft Office applications, including Teams, Word, Excel, and Outlook.
• Advanced verbal and written communication skills and the ability to present information effectively to pharmacy staff and patients.
• Excellent interpersonal skills and the ability to work respectfully with patients and team members.
• Ability to triage, prioritize, and complete work accurately within required timeframes.
• Ability to follow directions, execute assigned tasks, and maintain concentration while managing multiple steps and recurring variables.

Nice To Haves

• Working formal knowledge equivalent to an associate degree is desired.
• A bachelor's or postgraduate degree is preferred.
• Five or more years of experience in a retail or hospital pharmacy setting is preferred.

Responsibilities

• Review and process medication prior-authorization requests accurately and to completion within appropriate timeframes.
• Research and follow up to support authorization approval and resolve outstanding issues.
• Communicate authorization requirements and status with patients, providers, retail pharmacies, and insurance companies.
• Use eClinicalWorks, Excel, Microsoft Teams, CoverMyMeds, and other online authorization portals to initiate, document, and track requests.
• Use PioneerRx to review patient medication profiles and accurately rebill previous medication fills when appropriate.
• Communicate net revenue gained from completed prior authorizations to appropriate stakeholders.
• Monitor submitted requests and follow up on pending authorizations, requests for additional information, denials, and appeals-related next steps.
• Communicate authorization outcomes to providers and patients, and explain next steps when additional information is needed or a request is denied.
• Work with insurance companies to clarify coverage policies, documentation requirements, and approval criteria.
• Review patient medication profiles for prescription-insurance changes and update information when necessary.
• Maintain organized, complete, and accurate records of authorization submissions, supporting documentation, outcomes, and follow-up activities.
• Participate in quality-assurance activities to confirm approved authorizations are processed and documented accurately.
• Follow applicable pharmacy, insurance, privacy, safety, regulatory, and organizational requirements.
• Enter prescription-drug information accurately into the pharmacy operating system.
• Assist with inventory management, including ordering medications, restocking shelves, and returning expired medications.
• Process patient transactions, ring up purchases, and handle payments accurately.
• Respond courteously, confidentially, and promptly to patients, caregivers, coworkers, clinic staff, and external customers.
• Explain authorization or patient-assistance approval steps to patients in clear, understandable language.
• Refer questions, requests, or clinical concerns outside the role's scope to the appropriate licensed professional or responsible party.
• Perform other pharmacy duties as assigned to support reasonable patient and departmental needs, provided the duties comply with practice norms and legal requirements.

Benefits

• Competitive pay and comprehensive benefits, including medical, dental, and vision coverage.
• Generous paid time off, including 120 hours during the first year, plus paid holidays.
• 401(k) retirement plan.
• Annual paid Restorative Day supporting wellness and work-life balance.
• Mission-driven culture and employee recognition programs.
• Professional development and opportunities to grow within pharmacy operations and medication-access services.

What This Job Offers

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