Medication Access Coordinator I
Medication Access Coordinator I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Location:
WilkesBarre Public SquareShift:
Days (United States of America)Scheduled Weekly Hours:
40Worker Type:
RegularExemption Status:
NoJob Summary:
Accountable to obtain prior authorization for medications. Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies Geisinger departments and patients. Act as subject matter expert for patient medication assistance foundations free drug and drug replacement programs for uninsured underinsured indigent population. Maintains updated knowledge of pharmacy reimbursement methodologies.Job Duties:
- Completes prior authorization and documents referrals for all medications reviewed using appropriate thirdparty payer criteria.
- Conducts research and followup activities within established timeframes. Maintains knowledge of criteria changes of thirdparty payor authorization requirements.
- Communicates with care team to provide details on authorization status.
- Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment.
- Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s).
- Tracks fund award end dates and exhaustion and reapply as necessary to avoid lapse in therapies.
- Trains new employees
- Leads departmental projects and activities
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be allinclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associates Degree 2 years; Bachelors Degree 4 years).
Position Details:
Education:
High School Diploma or Equivalent (GED) (Required)Experience:
Minimum of 2 yearsRelevant experience* (Required)Certification(s) and License(s):
Skills:
Communication Computer Literacy Customer Service Healthcare Industry Medical Terminology Workplace OrganizationOUR PURPOSE & VALUES: Everything we do is about caring for our patients our members our students our Geisinger family and our communities.
- KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
- EXCELLENCE: We treasure colleagues who humbly strive for excellence.
- LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
- INNOVATION: We constantly seek new and better ways to care for our patients our members our community and the nation.
- SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one including vision dental and domestic partners. Perhaps just as important we encourage an atmosphere of collaboration cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients members and community come from a wide variety of backgrounds and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran.
Required Experience:
IC
Employment Type
Full-Time
