Clinical Pharmacy Tech - Prior Auth & Patient Access

Marshall Health; Huntington (VA); Hybrid; USD 52,000 - 65,000; Full time

Job summary

Marshall Health in Huntington, VA is seeking an experienced patient access coordinator to manage prior authorizations and coordinate patient assistance for neurology services. You will liaise with Neurology, Marshall Pharmacy, and payers to gather documentation, track approvals, and communicate next steps to patients.

In this role you’ll support CGRP and other high-cost medications, ensure accurate payer forms, and provide routine reporting of authorization metrics and patient savings to

Responsibilities

• Complete new and renewal prior authorizations; gather clinical documentation; submit accurate payer forms; monitor determinations; communicate requests for additional information; support appeal preparation; and document final outcomes.
• Screen for patient-assistance programs, copay support when permitted, foundation assistance, and internal resources; complete applications; obtain signatures and financial documentation; track approvals and renewals; and communicate next steps to patients.
• Serve as the primary operational link between Neurology and Marshall Pharmacy; confirm prescription receipt; resolve missing information; coordinate payer-required routing; support internal dispensing when eligible; and maintain closed-loop communication until medication access is completed.
• Prioritize CGRP therapies and other high-cost neurologic medications with significant prior-authorization, specialty-pharmacy, or affordability requirements. The workflow may expand to additional medications as operational needs are identified.
• Provide non-clinical updates regarding authorization status, required documents, pharmacy routing, assistance-program status, and next steps. Clinical questions will be escalated to the pharmacist or prescribing team.
• Track volume, approval rate, turnaround time, patient-assistance activity, estimated patient savings, internal capture, leakage reasons, abandoned prescriptions, and time to first fill. Provide routine reports to Neurology, Ambulatory Clinical Pharmacy leadership, and Marshall Pharmacy.

Job description

Marshall Health in Huntington, VA is seeking an experienced patient access coordinator to manage prior authorizations and coordinate patient assistance for neurology services. You will liaise with Neurology, Marshall Pharmacy, and payers to gather documentation, track approvals, and communicate next steps to patients.

In this role you’ll support CGRP and other high-cost medications, ensure accurate payer forms, and provide routine reporting of authorization metrics and patient savings to