Ambulatory Medication Access Coordinator (Specialty Pharmacy), Full-Time, Days

About the role

Be a part of a world-class academic healthcare system at UChicago Medicine as an Ambulatory Medication Access Coordinator in the Specialty Pharmacy.

Responsibilities

• Handle inbound and outbound phone calls
• Conduct and complete necessary third party (insurance) prior authorization requests and associated services related to high-cost medications
• Maximize efficiency for patients and clinic staff
• Improve patient service experience and maximize UCMC pharmacy revenue through provision of prior authorization services on behalf of clinics for select high-cost medications
• Conduct patient insurance, benefits and financial investigation and verification by directly communicating with patients
• Complete prior authorization forms, negotiate authorization status with insurers, track status of prescription approval and when necessary, alert clinical pharmacists of denials or nonresponse
• Facilitate enrollment of patients in patient assistance programs and collaborate with social services and case management on patient assistance
• Enter patient information on tracking forms and in computer software
• Expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff
• Provide exemplary customer service to outpatients across UCMC, including handling inbound and outbound phone calls
• Observe and understand prescribing trends within UCMC Ambulatory Clinics to identify areas for improved specialty pharmacy contracting
• Aid in the development and implementation of policies and procedures to ensure reimbursement of high-cost medications

Requirements

• Associate's or Bachelor’s degree
• Current or Eligibility for Illinois Pharmacy Technician licensure
• 3 to 5 years of pharmacy technician experience in a retail pharmacy (exceptional aptitude or knowledge may be considered in lieu of experience)
• Knowledge of and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets
• Strong oral and written communications skills
• Effective interpersonal skills, including the ability to effect collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction
• Ability to function effectively in a fast-paced and changing environment with multiple priorities
• Knowledge of and ability to perform insurance carrier/managed care review

Qualifications

• Knowledge of medication reimbursement preferred
• Knowledge of healthcare/prescription insurance billing, prior authorization, coding preferred

Skills

• Strong oral and written communications skills
• Effective interpersonal skills
• Ability to manage conflicts and resolve problems
• Ability to observe and understand prescribing trends
• Ability to develop and implement policies and procedures

Benefits

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.

Pay

Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Schedule

We anticipate you will be scheduled to work 8-hour shifts, day shift approximately between the hours of 7am-5:30pm and will not be scheduled for on-call shifts. We anticipate you will be scheduled to work a remote-hybrid schedule, working onsite 1 week every 3-5 weeks. The days of the week that you are scheduled will be Monday-Friday, and no weekends. This is subject to change.