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Medication Access Coordinator I
GeisingerMedication Access Coordinator managing prior authorization for medications and acting as a liaison with insurance companies and patients. This role supports patient assistance programs and medication coverage determinations.
About the role
Key responsibilities & impact- Accountable to obtain prior authorization for medications.
- Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, departments, and patients.
- Act as subject matter expert for patient medication assistance foundations, free drug and drug replacement programs for uninsured, under-insured, indigent population.
- Completes prior authorization and documents referrals for all medications reviewed using appropriate third-party payer criteria.
- Conducts research and follow-up activities within established timeframes.
- Communicates with care team to provide details on authorization status.
- Maintains knowledge of all available patient assistance programs and eligibility requirements.
- Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment.
- Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s).
- Tracks fund award end dates and exhaustion, re-apply as necessary to avoid lapse in therapies.
- Educate providers and patients on specialty services and how this improves overall patient care.
- Grow the specialty pharmacy’s patient population.
- Floats from areas of low workload to areas of heavy workload as needed to provide optional patient services.
- Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
Requirements
What you’ll need- High School Diploma or Equivalent (GED)- (Required)
- Minimum of 6 years-Relevant experience* (Required)
- Communication
- Computer Literacy
- Customer Service
- Healthcare Industry
- Medical Terminology
- Workplace Organization
Benefits
Comp & perks- We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
- We encourage an atmosphere of collaboration, cooperation and collegiality.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
prior authorizationbenefit investigationmedication assistance programsdocumentationresearcheligibility requirementspatient assistance programsenrollment paperworktracking fund awards
Soft Skills
communicationcustomer serviceworkplace organization
Certifications
High School DiplomaGED