Medication Access Specialist - Pharmacy Prior Authorization Support - Ophthalmology - Hybrid

Ochsner Health•New Orleans, LA

11h•Hybrid

About The Position

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job assists providers by ensuring patients' compliance with medications, lab monitoring, adherence to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates with patients, families, caregivers, healthcare providers/practitioners, and pharmacy personnel to maintain accurate and complete medication history information while documenting the encounters within the electronic health record (EHR). Forwards any problems to a pharmacist, provider, or clinic staff to assist with resolution. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Requirements

Education Required – High School Diploma or equivalent.
Work Experience Required – 2 years of experience as a pharmacy technician, medical intake, or healthcare employee working with medications.
Certifications Required - Medication Therapy Management Certification obtained through the Pharmacy Technician Certification Board (PTCB) OR Medication History Certificate from the American Society of Health-System Pharmacists (ASHP) must be obtained within 6 months.
Proficiency in using computers, software, and web-based applications.
Knowledge of pharmaceutical mathematics.
Effective verbal and written communication skills and ability to present information clearly and professionally.
Ability to operate standard pharmacy and office equipment.

Nice To Haves

Experience working with insurance to process medication authorizations
working with outpatient clinics and processing medication refill request
or experience with taking patient medication history.

Responsibilities

Processes patient on-boarding.
Coordinates with providers and patients to assess eligibility for financial support.
Navigates the medication authorization process.
Obtains and clarifies patients' home/chronic medication.
Uses the EHR to input patients’ home/chronic medication lists.
Communicates discrepancies identified via the medication history process with the pharmacist and makes clarifications with the patient and prescribers as needed.
Collects patients’ prescription benefit information.
Communicate and direct all questions or inquiries from patient or families that are outside the scope of taking the medication history to the appropriate caregivers or staff.
Provides high quality customer service to patients, family members, and care team members.
Documents all appropriate findings into the EHR for ease of collaboration amongst providers, support staff, and other refill clinic staff.
Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Performs other related duties as required.
Remains knowledgeable on current federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations, and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.