Medication Access Technician
About The Position
Under the supervision of the Medication Access Manager and guided by the policies and procedures of the Ambulatory and Outpatient Pharmacy Services, the Pharmacy Medication Support Specialist (MSS) facilitates prescription prior authorization (PA) and refill requests. This role involves obtaining, preparing and submitting the necessary forms for insurance authorizations, requesting information from insurance companies regarding possible alternative therapies, and providing patients with timely communications regarding the status of the PA. In addition, this position is also responsible in facilitating medication refills requests. Using a refill protocol, the MSS evaluates refill requests for adherence to the refill protocol criteria which includes reviewing a patient’s medical record in APeX and contacting a patient for needed information. The MSS also performs medication benefits investigations and explores financial assistance options where applicable, to ensure patients have access to the medication they need, acting as the primary contact for all medication authorization and refill requests.
Requirements
- Supervision of the Medication Access Manager
- Adherence to policies and procedures of the Ambulatory and Outpatient Pharmacy Services
- Ability to obtain, prepare, and submit necessary forms for insurance authorizations
- Ability to request information from insurance companies regarding possible alternative therapies
- Ability to provide patients with timely communications regarding the status of the PA
- Ability to facilitate medication refills requests using a refill protocol
- Ability to evaluate refill requests for adherence to refill protocol criteria
- Ability to review a patient’s medical record in APeX
- Ability to contact a patient for needed information
- Ability to perform medication benefits investigations
- Ability to explore financial assistance options where applicable
- Ability to act as the primary contact for all medication authorization and refill requests
Responsibilities
- Facilitates prescription prior authorization (PA) and refill requests.
- Obtains, prepares, and submits necessary forms for insurance authorizations.
- Requests information from insurance companies regarding possible alternative therapies.
- Provides patients with timely communications regarding the status of the PA.
- Facilitates medication refill requests using a refill protocol.
- Evaluates refill requests for adherence to refill protocol criteria.
- Reviews patient medical records in APeX.
- Contacts patients for needed information.
- Performs medication benefits investigations.
- Explores financial assistance options where applicable.
- Acts as the primary contact for all medication authorization and refill requests.
Benefits
- Total compensation
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
