Ambulatory Medication Access Coordinator (Specialty Pharmacy), Full-Time, Days

UChicago Medicine; Illinois; On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Sign-on bonus up to $3,000

Job summary

UChicago Medicine is seeking an Ambulatory Medication Access Coordinator (AMAC) in the Specialty Pharmacy to optimize reimbursement for high-cost medications and support clinic workflows. The AMAC will handle inbound and outbound calls, complete third-party prior authorizations, and help patients enroll in assistance programs.

Responsibilities include coordinating with pharmacists, social services, and clinic staff to prevent therapy interruptions, improve patient service, and ensure smooth

Qualifications

• Associate's or Bachelor’s degree required.
• Current or eligible for Illinois Pharmacy Technician licensure.
• 3–5 years of pharmacy technician experience in a retail pharmacy (exceptional aptitude may substitute).
• Knowledge of and ability to use computers including word processing, databases and spreadsheets.
• Strong oral and written communication skills.

Responsibilities

• Improve patient service experience and maximize pharmacy revenue through prior authorization services for high-cost medications.
• Conduct insurance, benefits and financial screening; complete prior authorizations and track status with insurers.
• Facilitate enrollment in patient assistance programs and coordinate with social services and case management.
• Enter patient information on tracking forms and in computer systems.
• Support clinic workflow by preventing therapy interruptions due to insurance issues in collaboration with pharmacists and staff.
• Provide exemplary customer service to outpatients across UCMC.

Skills

Oral and written communication

Computer skills

Pharmacy technician experience

Licensure eligibility

Education

Associate's degree

Bachelor's degree

Tools

Word processing

Database management

Spreadsheets

Job description

Job Description

Be a part of a world-class academic healthcare system at

Job Description

Be a part of a world-class academic healthcare system at UChicago Medicine as an Ambulatory Medication Access Coordinator in the Specialty Pharmacy. In this role you will be responsible for handling inbound and outbound phone calls, 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.

Eligible for a Sign-On Bonus up to $3,000

In this role, the Ambulatory Medication Access Coordinator, or AMAC, performs necessary functions to ensure optimal reimbursement for high cost, take home medications for patients receiving care in UCMC Ambulatory Clinics. Other areas of responsibility include handling inbound and outbound phone calls, pre-screening patients for viable payment sources, managing reimbursement issues associated with high-cost, take-home medications, identifying opportunities for improving reimbursement from payers, and completing necessary paperwork for prior authorizations.

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, including handling inbound and outbound phone calls.
• Observe and understand prescribing trends within UCMC Ambulatory Clinics to identify areas for improved specialty pharmacy contracting.
• Assist with development and implementation of policies and procedures to ensure reimbursement of high-cost medications.
• Performs other duties as requested by leadership.

Required Qualifications

• Associate's or Bachelor’s 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