Pharmacy Access Rep III - Community Pharmacy

University of Rochester • City of Rochester, NY

114d • $21 - $29

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Requirements

• Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required.
• Or equivalent combination of education and experience.
• Capable of working independently with minimum supervision required.
• Strong communication skills, problem-solving abilities, and professional presentation required.
• Demonstrated customer relations skills required.
• Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required.

Nice To Haves

• Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred.
• Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred.

Responsibilities

• Manages medication coordination and removal of barriers that prevent patients from receiving their medications.
• Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization.
• Helps enroll patients in financial assistance programs and arrange timely delivery of the medication.
• Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care.
• Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s).
• Analyzes patients that are receiving high-cost medications for potential participation in PAPs, and identifies the best options for the patient given their overall circumstances.
• Coordinates with the patient and/or family to obtain necessary information, including income information and other personal details.
• Enrolls patients in PAPs using the needed permission and information, follows up to determine the status of the application.
• Submits all required documentation to the PAP throughout the duration of treatment to verify that payment for each prescription refill is still active.
• Understands and manages the payment process specific to each PAP, and ensures that payments are properly accounted for the correct patient and correct patient encounter.
• Meets or discusses with the patient and/or family the status of PAP eligibility on an as-needed basis if coverage changes during treatment duration.
• Serves as a subject matter expert available to patients, providers, and other staff about financial assistance resources.
• Collaborates with social services and case management on patient assistance.
• Coordinates medication and supplies preparation with pharmacy staff to ensure timely delivery.
• Troubleshoots insurance issues with pharmacists, physicians, and staff to prevent treatment interruptions.
• Follows up with patients to ensure safe and effective medication use.
• Documents problems with the medication and triages issues to the pharmacist when appropriate.
• Coordinates medication ordering with inventory manager for special orders or low-volume medications.
• Tracks changes in prescribing trends and coordinates with inventory manager if changes in stock on hand is needed.
• Makes scheduled calls to patients to bill prescriptions and set up deliveries.
• Facilitates adherence to medications by ensuring that patients receive prescribed medications in a timely manner.
• Provides excellent customer service through the Pharmacy Call Center.
• Triages patient calls to the appropriate party.
• Answers incoming calls in a timely manner.
• Monitors and reconciles patient charge accounts once a month.
• Remains professional, courteous, and diligent in all interactions with staff and patients/families.
• Obtains high patient and provider satisfaction results.
• Reports errors through the hospital error reporting system and contributes to quality improvement initiatives.
• Assists with prescription audits and ensures timely completion of required patient documentation.
• Assists with the training of new team members in the designated clinical area.
• Maintains expertise in the current policies of the most common payors for the relevant administered drugs that require prior authorization.
• Initiates, documents, and tracks all prior authorization on behalf of the areas to improve patient experience.

Benefits

• 401k
• health_insurance
• dental_insurance
• vision_insurance
• paid_holidays
• tuition_reimbursement
• professional_development

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree
• Number of Employees: 1-10 employees