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Patient Access Coordinator
1 month ago
Open Date
11/4/2024
Full-Time/Part-Time
Full-Time
Description
Patient Access Coordinator
Serve You Rx is looking for a Patient Access Coordinator to assist our Clinical Prior Authorization team and support our SAP program. The Patient Access Coordinator works closely with patients and prescribers to facilitate enrollment in Patient Assistance Programs for medications not covered by the plan. This role supports Clinical Prior Authorization Technicians with administrative and project-related tasks, application tracking, and the re-enrollment process.
What You'll Do:
As the Patient Access Coordinator, you will be doing the following essential duties and responsibilities:
- System data entry for new enrollments, new and renewal Prior Authorizations (PA), and specialty patient tracking. This includes working with CAE team to proactively initiate needed PAs.
- Communicate to patients and prescribers about the patient assistance enrollment process, including updates and other necessary follow-ups through to determination.
- Make required system entries upon patient assistance approval.
- Initiate appropriate next steps upon patient assistance denial.
- Follow up with third party sourcing partners to ensure medication fulfillment.
- Enter system overrides at the direction of clinical staff to avoid lapse/delay in therapy.
- Provide status updates of new applicants as requested.
- Maintain associated patient assistance program drug list(s).
- Additional duties as assigned.
- High school diploma or GED.
- Pharmacy experience is preferred.
- Specialty Pharmacy experience is preferred.
- One year of customer service in-bound call center experience where operational standard processes, technologies, and metrics were used in a related field to include employee benefits and/or pharmacy/prescription drugs, or similar experience.
- Previous computer experience and basic MS Office Professional experience.
- An active and valid Certified Pharmacy Technician license, licensed through the Pharmacy Technician Certification Board (PTCB) that is in good standing with no restrictions is preferred.
- Strong organizational and administrative skills
- Strong written and verbal communication skills
- Ability to work collaboratively in a team environment
- Knowledge of HIPAA regulations and healthcare policies.
- Basic computer and MS Office Professional knowledge such as Outlook, Word, and Excel, and the ability to switch between multiple screens/software programs quickly and efficiently to resolve member concerns while on the telephone.
- Solid PA Hub and Rx Claim knowledge.
- Advanced customer focus and communication skills. Demonstrated ability to listen skillfully, collect relevant information, build rapport, respond to callers in a compassionate manner, and provide clear and concise written responses.
- Solid problem solving /decision making. Uses sound judgment and common sense to make competent, timely and effective decisions.
- Solid data entry skills to include detail orientation to produce a high degree of accurate results.
- Read, comprehend, and follow processes and procedures.
- Good time management and organizational skills.
Why Serve You Rx?
Serve You Rx is a full-service pharmacy solutions provider based in Milwaukee, Wisconsin. We specialize in pharmacy benefit management, mail order services, and specialty medication management. For more than 37 years, Serve You Rx has been collaborating with benefit advisors, third-party administrators, and employers to design and deliver strategies that reduce prescription drug costs and improve consumer access to affordable and clinically appropriate medication therapies. Serve You Rx is privately held, and our owned assets include our Specialty Pharmacy, mail order pharmacy, and member services call center.
The company offers generous benefits to include: medical (HMO and PPO), dental, vision, 401k, HSA, identity theft and legal coverage, pet insurance, paid parental leave, and 16 days of paid time off in your first year. Serve you Rx's onsite location is a newly remodeled and clean facility, has easy on/off freeway access, plenty of free surface parking directly outside our facility doors, scenic walking trails, a wide variety of restaurants and shopping nearby, and food trucks in the park when weather permits.
Serve You Rx provides additional training and resources and will pay for employees to obtain and maintain their Pharmacy Technician Certification (CphT) through the Pharmacy Technician Certification Board (PTCB). In doing so employees can further advance their career with us and earn additional income.
EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.
