Pharmacy Access Rep

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

Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons; Analyzes patients receiving high-cost medications for potential participation in PAPs; Coordinates with patients/families to obtain necessary information and present PAP options; Enrolls patients in PAPs and follows up on application status; Submits required documentation to PAP throughout treatment; Understands and manages PAP payment processes; Serves as subject matter expert on financial assistance resources; Collaborates with social services and case management on patient assistance; Coordinates medication and supplies preparation with pharmacy staff; Troubleshoots insurance issues with pharmacists, physicians, and staff; Follows up with patients to ensure safe and effective medication use; Documents medication problems and triages issues to pharmacist; Coordinates medication ordering with inventory manager; Tracks changes in prescribing trends; Makes scheduled calls to patients to bill prescriptions and set up deliveries; Provides excellent customer service through the Pharmacy Call Center; Triages patient calls and answers incoming calls timely; Monitors and reconciles patient charge accounts; Reports errors through hospital error reporting system; Assists with prescription audits and training of new team members; Maintains expertise in payor policies and initiates/tracks prior authorizations

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