Medication Access Coordinator

2 weeks ago


Florence, United States McLeod Health Full time

Medication Access Coordinator McLeod Pharmacy Services Reporting to the Pharmacy Business Services Corporate Director, the Medication Access Coordinator is responsible for supporting patients' access to critical medications in a timely and affordable manner. This individual is responsible for the communication of determination outcomes both verbally and electronically with providers, clinical team members, and patients. When an authorization or patient assistance cannot be obtained, the Medication Access Coordinator must be able to guide and educate staff, providers, and/or patients on the options and necessary steps to resolve the barriers to obtaining necessary medications. Consistently offer a positive patient and healthcare team experience: Support an exceptional experience through all customer interactions, ensuring professional, timely and accurate communication both verbally and in writing. Facilitate and establish clinic, pharmacy, and patient relationships conducive to delivering high quality patient care. Demonstrate the core values of McLeod Health including the Value of Caring, the Value of the Person, the Value of Quality, and the Value of Integrity in every interaction. Improve patients' access to medications: Receive and prioritize referrals to complete medication prior authorizations and/or patient assistance from clinic staff, providers, and pharmacy partners. Verify third-party payer coverage and medication benefits/coverage policies. Complete thorough benefits investigations to determine patient third-party payer coverage level and out-of-pocket costs. Obtain necessary clinical information through investigation and review of the electronic medical record to ensure complete and accurate prior authorization submission, collaborating with the clinic to acquire additional information or guidance if necessary. Support clinical staff, providers, and pharmacy partners in the navigation of, and adherence to, internal and external formulary policies, pathways, and step-therapy requirements to ensure appropriate and cost-effective medication use.



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