Specialist in Medication Access

2 weeks ago


Rochester, New York, United States University of Rochester Full time
Job Title: Medication Access Specialist

Company: University of Rochester

Position Overview:
This position is responsible for overseeing the accessibility of high-cost specialty medications and restricted pharmaceuticals within designated clinics. Key duties include securing prior authorizations, facilitating patient assistance initiatives, managing vendor reimbursements, and collaborating with financial departments to ensure precise billing.

Key Responsibilities:

Prior Authorization Oversight:
  • Familiarity with insurance provider policies
  • Submit prior authorization requests and handle responses
  • Analyze denials and coordinate follow-ups with healthcare providers
  • Monitor and renew prior authorizations
Management of Patient Assistance Programs:
  • Assess patients for eligibility in assistance programs
  • Enroll patients in relevant initiatives
  • Maintain documentation for reimbursement
  • Track and update patient eligibility
Financial Oversight:
  • Conduct benefits investigations
  • Oversee payment processing
  • Work with Financial Services to ensure billing accuracy
Financial Reporting:
  • Monitor payments received from assistance programs
  • Calculate savings for patients and institutions
Patient and Provider Satisfaction:
  • Engage professionally with staff and patients
  • Gather data from satisfaction surveys
  • Perform additional related duties as required
Qualifications:
A minimum of an Associate's degree in a medical, administrative, or related field, along with 3+ years of relevant experience. Strong communication skills, problem-solving capabilities, and customer service expertise are essential.

About University of Rochester:
The University of Rochester is dedicated to promoting equity, diversity, and inclusion. We uphold a culture of fairness and equality in all our endeavors.

Application Process:
All candidates are required to apply through the official online channels.

Compensation:
$25.77 per hour

Employment Type: Full-Time

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