Pharmacy Access Rep

Responsibilities

• Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s).
• Analyzes patients that are receiving high-cost medications for potential participation in PAPs, and identifies the best options for the patient given their overall circumstances (insurance, disease state, income, etc).
• Collaborates with social services and case management on patient assistance.
• Serves as a subject matter expert available to patients, providers, and other staff about financial assistance resources, including PAPs, grants, foundations, manufacturer coupons, and social work.
• Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care.
• Coordinates medication and supplies preparation with pharmacy staff to ensure timely delivery.
• Troubleshoots insurance issues with pharmacists, physicians, and staff to prevent treatment interruptions.
• Follows up with patients to ensure safe and effective medication use.
• Documents problems with the medication (i.e. delivery issues, side effects, adherence, difficulty with administration, etc.) and triages issues to the pharmacist when appropriate.
• Coordinates medication ordering with inventory manager for special orders or low-volume medications.
• Tracks changes in prescribing trends and coordinates with inventory manager if changes in stock on hand is needed.
• Makes scheduled calls to patients to bill prescriptions and set up deliveries.
• Facilitates adherence to medications by ensuring that patients receive prescribed medications in a timely manner.
• Provides excellent customer service through the Pharmacy Call Center.
• Trips calls to patients to bill prescriptions and set up deliveries.
• Monitors and reconciles patient charge accounts once a month.
• Remains professional, courteous, and diligent in all interactions with staff and patients/families.
• Obtains high patient and provider satisfaction results.
• Reports errors through the hospital error reporting system (RL solutions) and contributes to quality improvement initiatives.
• Assists with prescription audits and ensures timely completion of required patient documentation.
• Assists with the training of new team members in the designated clinical area.
• Initiates, documents, and tracks all prior authorization on behalf of the areas to improve patient experience, ensure compliance, and prevent interruptions or delays in treatment.

Qualifications

• Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required.
• Or equivalent combination of education and experience.
• Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred.
• Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred.