Medication Access Specialist

About the role

The primary responsibility of the medication access specialist is to proactively review and verify patients' drug benefit information to ensure reimbursement requirements are met. Other responsibilities include processing test claims for medications, conducting third-party prior authorization requests, educating patients on DCH retail pharmacy services, and managing the medication patient assistance recovery programs.

Responsibilities

• Proactively review and verify patients’ drug benefit information within the electronic medical record (EMR) and retail pharmacy computer system
• Review medications prescribed to patients across the DCH Health System, conduct patient insurance and financial reviews
• Facilitate adherence to medications by ensuring that patients receive prescribed medications in a timely manner
• Maximize revenue capture for high cost take-home medications by completing third party (external) medication authorization
• Improve patient service experience and DCH outpatient pharmacy revenue through provision of test claims and prior authorization services
• Market and educate patients and/or families on the existence and value of DCH outpatient pharmacy
• Absorb patients discharging from the hospital to acquire medications, which require meeting and speaking with patients
• Perform duties as assigned by Pharmacy Manager or other Pharmacist, including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions
• Register all related sales on assigned cash register, collect and handle cash as required. Assist in locating products. Assist pharmacists in scheduling and maintaining work flow
• In accordance with state and federal regulations, assist the pharmacist, under direct supervision, in the practice of pharmacy. Assist the pharmacist in the performance of other Pharmacy Department duties in accordance with policies and procedures
• Provide patients with excellent customer service by being greeting them and offering assistance to have a positive experience
• Assist and support Pharmacy Department on inventory management activities, such as ordering, unpacking, checking and storing shipment of pharmaceuticals
• Maintain knowledge of compliance requirements and process invoices
• Notify pharmacist of shortages
• Report, immediately, prescription errors to pharmacist on duty and adhere to company policies and procedures in relation to pharmacy errors and the Quality Improvement Program

Requirements

• Registered as a technician in State of Alabama by start date
• National certification by PTCB or ExCPT
• One year experience in medication reimbursement and health care insurance preauthorization
• Three years’ experience in pharmacy practice is preferred
• Experience with patient assistance programs is preferred
• Baccalaureate degree is strongly preferred
• Able to operate computer, calculator, telephone, and other pharmacy related equipment
• Prior computer experience using Microsoft Office systems required
• Strong communication skills required
• Excellent interpersonal skills required
• Able to work under pressure and meet deadlines
• Strong telephone presence/etiquette
• Better than average layman's knowledge of various medications and medication classes