Ambulatory Medication Access Coordinator â Pharmacy Tech, Prior Authorization and Pharmacy Call Center â Burr Ridge
Ambulatory Medication Access Coordinator â Pharmacy Tech, Prior Authorization and Pharmacy Call Center â Burr Ridge
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Job Description
Job Description
Be a part of a world-class academic healthcare system atUChicago Medicineas anAmbulatory Medication Access Coordinatorin theDCAM Outpatient- Mail Order Pharmacy-Burr Ridge.In this role you will be responsible for assistance with conducting and completing necessary third party (insurance) prior authorization requests and associated services related to high cost medications maximizing efficiency for patients and clinic staff. UChicago Medicine Duchossois Center for Advanced Medicine - Hyde Park also known as DCAM is our flagship outpatient facility and is home to dozens of primary and specialty clinics as well as a pharmacy.
In this role the Ambulatory Medication Access Coordinator or AMAC performsnecessary functions to ensure optimal reimbursement for high cost take home medications for patients receiving care in UCMC ambulatory clinics. Other areas of responsibility include pre-screening patients for viable payment sources managing reimbursement issues associated with high cost take-home medications identifying opportunities for improving reimbursement from payers compiling reports for contract optimization completing the necessary paperwork for prior authorizations and conducting retrospective utilization reviews on cases of payment denials or insufficient reimbursement
Essential Job Functions:
- Improve patient service experience and maximize UCMC pharmacy revenue through provision of prior authorization services on behalf of clinics for select high cost medications.
- Conduct patient insurance benefits and financial investigation and verification by directly communicating with patients. Complete prior authorization forms negotiate authorization status with insurers track status of prescription approval and when necessary alert clinical pharmacists of denials or nonresponse.
- Facilitate enrollment of patients in patient assistance programs and collaborate with social services and case management on patient assistance.
- Enter patient information on tracking forms and in computer software.
- Expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists physicians and clinic staff.
- Provide exemplary customer service to outpatients across UCMC.
- Observe and understand prescribing trends within UCMC ambulatory clinics to identify areas for improved specialty pharmacy contracting.
- Assist with the development and implementation of policies and procedures to ensure reimbursement of high cost medications.
- Performs other duties as requested by senior management.
Required Qualifications:
- Associate or Bachelors degree
- Current or Eligibility for Illinois Pharmacy Technician Licensure
- 3 to 5 years of pharmacy technician experience in a retail pharmacy (Exceptional aptitude or knowledge may be considered in lieu of experience.)
- Knowledge of and ability to use computers and a variety of computer programs including word processing database management and spreadsheets
- Strong oral and written communications skills
- Ability to effectively manage conflicts and resolve problems
- Effective interpersonal skills including the ability to effect collaborative alliances promote teamwork and ensure a high degree of internal and external customer satisfaction
- Ability to function effectively in a fast-paced and changing environment with multiple priorities
- Knowledge of and ability to perform insurance carrier/managed care review
Preferred Qualifications:
- Knowledge of medication reimbursement preferred
- Knowledge of healthcare/prescription insurance billing prior authorization coding preferred
Position Details:
- Job Type/FTE: Full-Time (1.0 FTE)Hybrid
- Shift:9am-5:30pm
- Unit/Department: Outpatient Pharmacy
- CBA Code: Non-Union
In this role we anticipate that you will be scheduled to work thedayshift you will approximately work 9am-5:30pm andwill notbe scheduled for on-call shifts. We anticipate you will work a hybrid schedule with onsite shifts at theBurr Ridge locationafter 90 days of days of the week that you are scheduledwill be Monday-Friday and no weekends.
Why Join Us
Weve been at the forefront of medicine since 1899. We provide superior healthcare with compassion always mindful that each patient is a person an individual. To accomplish this we need employees with passion talent and commitment with patients and with each other. Were in this together: working to advance medical innovation serve the health needs of the community and move our collective knowledge forward. If youd like to add enriching human life to your profile UChicago Medicine is for you. Here at the forefront were doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:UChicago Medicine Career Opportunities.
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race color ethnicity ancestry sex sexual orientation gender identity marital status civil union status parental status religion national origin age disability veteran status and other legally protected characteristics.
Must comply with UChicago Medicines COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly a pre-employment physical drug screening and background check are also required for all employees prior to hire.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
Required Experience:
IC
Employment Type
Full-Time
