Medication Access Specialist, Specialty Pharmac

3 days ago

Wake Forest, NC, United States Advocate Aurora Health Full time
Department:

38592 Wake Forest Baptist Medical Center - Retail Pharmacy: Specialty Rx

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday through Friday, first shift. Remote option upon successful completion of training

Pay Range
$22.50 - $33.75

Position Highlights
  • Full-Time, Days
  • 1st shift (0800-1900, hrs. vary based on clinic needs), M-F, weekend/holidays TBD. Remote option upon successful completion of training.
  • Winston Campus
  • $6,000 sign-on bonus eligible position for qualified candidates Click here for more information
How You Will Impact Patient Care:

Your responsibilities may include, but are not limited to:
  • Navigates various options for receiving prior authorization requests and further utilizing systems to find resources that best fit the patient's needs, as applicable.
  • Provides assistance to a subset of patients by completing Patient Assistance Program (PAP) applications and co-pay assistance applications.
  • Assists patients by explaining the medication access process, which may include completing applications and reviewing documents required to complete the application.
  • In collaboration with pharmacists, completes medication reconciliation, reviews prescription claim history for medication adherence and documents findings in the electronic health record, as applicable. Also available to patients and families to triage questions regarding medication access needs.
  • Verifies patient insurance benefits to minimize patient cost.
  • Completes PAP and copay assistance applications, records qualitative monthly/quarterly feedback, refill reminders and medication shipment scheduling, and patient re-enrollment in appropriate assistance programs, as appropriate.
  • Apply co-pay assistance payments to the appropriate patient account, as applicable.
  • Performs data entry and prepares tracking reports for both internal and external stakeholders.
  • Garners and maintains knowledge of Health Plan compliance requirements, healthcare operations, and medical terminology.
  • Efficiently determines a patient's ability to utilize enterprise pharmacy services. Routes prescriptions to appropriate pharmacy, as necessary.
  • Supports the development of methods of communication and coordination with patient care team to ensure timely and accurate fulfillment of orders for patient requests and clients.
  • Maintains updated knowledge and skills and contributes to the education of others.
  • Participates in planning processes by establishing personal goals to support quality improvement efforts and contributes to the achievement of departmental objectives.
  • Audits own performance and recommend objectives and standards of performance.
  • Contributes positively to execution of pharmacy department initiatives.
  • Accepts assignments of tasks from other pharmacy teammate roles when workload dictates.
  • Any other duties as assigned.
What You Will Need
  • High school diploma or GED equivalent required.
Nice To Have (Not Required)
  • Associate degree or bachelor's degree preferred.
  • Three years' pharmacy experience and two years call center or customer service experience highly preferred.
  • Retail pharmacy or healthcare/medical group experience and two years of healthcare related billing preferred.
  • PTCB technician certification (CPhT) preferred.
  • North Carolina Board of Pharmacy registration required within 30 days of employment.
  • PTCB technician certification (CPhT) within 180 days of employment.
DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program


About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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