Pharmacy Access Specialist
Pharmacy Access Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Its more than a career its a calling.
OK-SSM Health St. Anthony Healthplex Oklahoma City 13401Worker Type:
RegularJob Summary:
Increase patient access and adherence to medically necessary pharmaceuticals by managing patients insurance benefits and utilizing established patient assistance programs. Provides value-added services by developing client-based relationships with clinical staff and patients presenting pharmacy service options through customized financial analysis and facilitating information gathering for program enrollment (patient assistance and indigent programs).Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Serves as the liaison between the medical staff outpatient pharmacies insurance providers and patients to improve communication and continuity of care.
- Review patient demographics medication history and insurance status to identify socioeconomic barriers opportunities for intervention and eligibility for prescription assistance.
- Improves patient service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties.
- Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues copay issues patient assistance program eligibility and other indigent programs.
- Coordinates services with appropriate departments and internal patient care team members regarding patients who have limited financial resources for paying for medications and facilitates medication access to support discharge preparations.
- Interacts with hospital and clinic employees including but not limited to pharmacists clinical staff fiscal personnel department managers access services staff coding staff and billing assistants. External contacts include but are not limited to third party payers manufacturers prescription benefit management companies external pharmacy personnel and referring providers and their support staff.
- Reviews complex insurance situations in order to educate patients providers and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information.
- Performs other duties as assigned.
EDUCATION
- Bachelors degree or equivalent years of experience and education
EXPERIENCE
- No experience required
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting standing walking reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms malfunctioning machinery etc.
- Frequent keyboard use/data entry.
- Occasional bending stooping kneeling squatting twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
- Pharmacy Technician Registered - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
- Pharmacy Technician - Missouri Division of Professional Registration
- Or
- MO Registration Application and Fingerprint Process Complete AT TIME OF HIRE - Missouri Division of Professional Registration
- And
- FUTURE - Pharmacy Technician Registered within 6 months - Missouri Division of Professional Registration
State of Work Location: Oklahoma Wisconsin
- N/A
Work Shift:
Day Shift (United States of America)Job Type:
Department:
Pharmacy ConciergeScheduled Weekly Hours:
40Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options:our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned unpaid base pay(fees may apply)before payday.
Upfront Tuition Coverage:we provide upfront tuition coverage through FlexPath Funded for eligible team members.
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race color religion national origin age disability sex sexual orientation gender identity pregnancy veteran status or any other characteristic protected by applicable law. Click here to learn more.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
