Pharmacy Access Representative - Specialty Pharmacy

Manages medication coordination and removal of barriers that prevent patients from receiving their medications. Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication. Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care.

Responsibilities

Manages medication coordination and removal of barriers that prevent patients from receiving their medications; Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization; Helps enroll patients in financial assistance programs and arrange timely delivery of the medication; Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care; Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to high-cost drugs; Coordinates medication and supplies preparation with pharmacy staff to ensure timely delivery; Troubleshoots insurance issues with pharmacists, physicians, and staff to prevent treatment interruptions; 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.

Requirements

Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required; Or equivalent combination of education and experience; Capable of working independently with minimum supervision required; Strong communication skills, problem-solving abilities, and professional presentation required; Demonstrated customer relations skills required; Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required.

Nice to have

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.