Medication Access Specialist

Froedtert • Neenah, WI

8d • Hybrid

About The Position

This role supports North Region ThedaCare specialty clinics patients and providers by completing prior authorizations, coordinating insurance benefits, and assisting with financial assistance programs for specialty medications.
Key roles and responsibilities include but are not limited to:
Initiate and manage prior authorizations for specialty medications for North Region ThedaCare specialty clinics
Verify pharmacy and medical insurance benefits
Assist patients with manufacturer and foundation assistance programs
Communicate with clinics, payers, pharmacies, and patients to resolve access barriers
You will be a great fit for this role if:
You enjoy problem-solving and attention to detail
You are comfortable working in a fast-paced, deadline-driven environment
You value teamwork and collaboration
You are passionate about helping patients access their medications

Requirements

• 3 years of experience in pharmacy, healthcare, managed care, or other health insurance environment is required
• Knowledge of health insurance and pharmacy insurance benefit verification, health insurance terminology, billing, managed care contracting, hospital reimbursement, and hospital admitting and registrations practices required.
• High school diploma or equivalent is required.
• Proven attention to detail
• Experience with third party insurance and medication/co-pay assistance programs
• Effective interpersonal skills, including the ability to develop collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction
• Outstanding organizational and follow-up skills
• Experience with various computer systems and programs (such as EPIC, insurance portals, McKesson Enterprise, etc.)
• Quick learner
• Ability to work independently and take programmatic initiative
• Ability to function in a fast paced and changing environment and balance multiple priorities
• Experience with navigating an Electronic Health Record.
• Certification through Pharmacy Technician Certification Board or National Healthcare Association (ExCPT) Required within the first 6 months of hire.

Nice To Haves

• 4 year degree preferred.
• Graduate of ASHP accredited pharmacy tech training program preferred.

Responsibilities

• Initiate and manage prior authorizations for specialty medications for North Region ThedaCare specialty clinics
• Verify pharmacy and medical insurance benefits
• Assist patients with manufacturer and foundation assistance programs
• Communicate with clinics, payers, pharmacies, and patients to resolve access barriers

Benefits

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees