MEDICATION ACCESS COORDINATOR
The Christ Hospital Health Network · Cincinnati, OH · 3 mo ago
OTHRFull-time
Responsibilities
- Demonstrates a working knowledge of patient assistance programs, including new programs, third-party billing (Medicare, Ohio Welfare, Part D), Co-Pay Assistance, Insurance verification
- Serves as a resource person for billing problems (ICD-9, HCPCS), Part D and Medicaid MCO plan selection, Part D LIS
- Collaborates with physicians, clinic staff, case managers, pharmacy staff and Social Service to identify potential patients for enrollment both inpatient and outpatient
- Interviews patients to determine their potential qualification for patient assistance programs by reviewing health/prescription insurance and financial status
- Obtains clinical information from patient charts specific to program requirements
- Communicates with patient assistance program representatives to enroll patients
- Collaborates with physicians and clinic staff regarding additional documentation and signatures necessary for completion of enrollment forms
- Facilitates approval process with assistance program representatives
- Records patient specific drug supply shipment information and communicates with patient and health care professionals as necessary to facilitate patient care
- Communicates with assistance program representatives, patients, physicians and other parties as necessary for maintenance of patients in assistance programs
- Maintains a list of current and potentially new patients
- Serves as a resource person in planning, implementing and expanding access to patient assistance programs
- Maintains communication with The Christ Hospital Medicine Clinic for potential free medication or co-pay assistance
- Communicates with TCHHN, Pulmonary, and Rheumatology offices to schedule delivery of free medication for their ambulatory procedure patients
- Serves as a representative of both The Christ Hospital and the Department of Pharmacy Services, promoting a positive image in all dealings with other hospital employees and hospital guests
Qualifications
- Excellent communication and interview skills
- Experience in managing financial and/or clinical information
- Experience working with financial eligibility or third party programs
- Experience working with data base computer software programs
- Pharmacy Technician Certification