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About the role
Key responsibilities & impact- Provide integrated remote support to patients, pharmacists, and providers
- Streamline patient intake processes and navigate insurance requirements
- Enhance medication access and conduct patient outreach
- Reduce the financial burden of high-cost prescriptions
- Act as liaison among pharmacies, clinic staff, and insurance providers
- Optimize treatment initiation and improve patient satisfaction
- Conduct benefits investigations and handle medication authorizations
- Manage insurance denials and identify assistance programs
- Communicate medication options and financial resources to patients
- Ensure timely and accurate documentation in EMR systems
- Assist with onboarding and training of client-employed medication access specialists
- Collaborate with team members to provide insight and feedback into operations
Requirements
What you’ll need- High school diploma or equivalent
- Minimum of three years of pharmacy experience in healthcare or with pharmacy providers focused on medication access
- Two years of healthcare revenue cycle experience, including medication authorizations and preadmission/precertification processes (preferred)
- Expertise in retail pharmacy PBM adjudication, ensuring accurate claim processing and reimbursement (preferred)
- Proficient in utilizing CoverMyMeds® for prior authorization submissions, streamlining medication access (preferred)
- State Board of Pharmacy Technician registration obtained within 2 months of start date, if applicable based on state requirements (required)
- Active CPhT certification through either PTCB or NHA (preferred)
- Strong judgment and decision-making skills
- Excellent interpersonal and team collaboration skills
- Extensive expertise in medication reimbursement, prior authorization, and healthcare coding
Benefits
Comp & perks- Competitive salary and benefits for this full-time salaried, non-exempt role
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
Medication ReimbursementHealthcare CodingPBM AdjudicationInsurance Denials ManagementBenefits Investigation
Soft Skills
Strong JudgmentDecision-MakingInterpersonal SkillsTeam Collaboration
Certifications
CPhT CertificationState Board of Pharmacy Technician Registration