We are recruiting for a Medication Assistance Coordinator, SpecialtyPharmacy Technician to join our team!
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DepartmentAmbulatory Pharmacy
Job Summary
Under the general supervision of a pharmacist and in conjunction with clinicalstaff the Medication Assistance Coordinator is responsible for providingaccess to medications for patients by completing prior authorization requests(PAR), co-pay assistance programs, medication assistance programs,benefits investigation, coordinating refill renewal requests, managing PARand prescription renewal dates, and assisting patients without healthinsurance to connect with the Enrollment department as applicable. Clinicaland technical knowledge is utilized to operate web-based applications, workin Microsoft Word and Excel, and analyze and audit pharmacy usage reports.
Essential Functions:
Serve as a referral point and as the expert in submitting applications forpatients to receive provided drug and co-pay assistance from pharmaceuticalmanufacturer assistance programs (20%)Coordinate applications for assistance meeting drug-specific requirements forparticipation, including but not limited to forms, patient proof ofincome, relative clinical information, and physician or provider signature(20%Track each request to achieve timely approval & follow-up with appropriateindividuals when not approved (15%)Displays effective file management by maintaining documentation and detailedrecords of program participation, medications dispensed, and value ofmedications provided to patients via the Medication Assistance Program (10%)Completes consistent documentation in the electronic health record per programstandard of practice (10%)Effective analysis and use of management data and reports to establishstandards to monitor and improve contract performance (5%)Works with the Enrollment Services Department (5%)Directly enroll eligible patients into manufacturer patient assistance andco-pay programs (5%)Collaborate with other departments providing pharmacy related information tonurse case managers, complex case workers, health coaches, and patientnavigators (5%)Work cooperatively with other staff members and clinic staff (5%)Education:
High School Diploma or GED RequiredWork Experience:
1-3 years Three (3) years of pharmacy technician experience or equivalentexperience performing prior authorizations RequiredLicenses:
PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory AgenciesRequiredCPHT-Certified Pharmacy Technician - PTCB - Pharmacy Technician CertificationBoard RequiredKnowledge, Skills and Abilities:
Extensive knowledge of health care administration, including Medicare,managed care, Medicaid and CHP+ eligibility and enrollment processesExtensive knowledge of eligibility determination systemsKnowledge of federal and Colorado statutes, legislative initiatives andregulations, as well as federal, State and local policiesExcellent communication and organizational skillsAnalytical thinking, problem solving, and process improvement skillsAbility to work independently and with little supervisionAbility to disseminate program information, policies, rules and/or regulationsAbility to simultaneously coordinate and manage several functions,programs, and projects in various stages of completionAbility to consistently implement program, department and organizationalpolicies and proceduresDemonstrates exceptional interpersonal and customer service skills in allinteractions with internal and external healthcare team membersDemonstrates exceptional interpersonal and customer service skills in allinteractions with p tientsUnderstands how state and federal laws, regulations, policies andprocedures impact specific job responsibilities and functionsDemonstrates actions to reasonably prevent, detect, and report unethicaland unlawful business practicesProficiency with Microsoft Office requiredProficiency with Epic, preferred
ShiftDays (United States of America)
Work TypeRegular
Salary$51,098.00 - $69,133.00 / yr
Benefits
Outstanding benefits including up to 27 paid days off per year, immediateretirement plan employer... For full info follow application link.