Medication Access Specialist

2 months ago


Menomonee Falls, Wisconsin, United States Froedtert Health Full time
About the Role

Froedtert Health is seeking a highly skilled Medication Access Specialist to join our team. As a Medication Access Specialist, you will play a critical part in ensuring the financial viability of patients as they navigate the healthcare system.

Key Responsibilities
  • Act as a liaison between patients, physicians, pharmacies, insurance providers, and other third parties to initiate and resolve appeals and obtain financial assistance for patients in need.
  • Obtain medication insurance coverage or assistance and benefit information, authorizations of medications, and monitor patient insurance status.
  • Assist in facilitating medication refill requests and communicate insurance issues to the treatment team.
  • Review electronic medical records to collect pertinent information needed to submit, appeal, and resolve prior authorizations and medication refills requests.
  • Assist in obtaining updated prescription authorizations for existing patients.
  • Communicate with patients, physicians, and other parties through multiple methods regarding responses and outcomes of prior authorizations and medication refills.
Requirements
  • A minimum of 3 years of experience in pharmacy, healthcare, managed care, or other health insurance environment.
  • Knowledge of health insurance and pharmacy insurance benefit verification, health insurance terminology, billing, managed care contracting, hospital reimbursement, and hospital admitting and registration practices.
  • High School diploma or equivalent required; 4-year degree preferred.
  • Graduate of ASHP accredited pharmacy tech training program preferred.
  • Proven attention to detail, effective interpersonal skills, and ability to work independently and take initiative.
Perks and Benefits
  • Paid time off.
  • Growth opportunities, including career pathways and tuition assistance.
  • Academic partnership with the Medical College of Wisconsin.
  • Referral bonuses.
  • Retirement plan.
  • Medical, dental, vision, life insurance, and disability benefits.
  • Employee assistance programs and other work-life benefits.


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