Medication Access Advocate | Pharmacy & Patient Support

Christ Community Health Services; Memphis (TN); On-site; USD 42,000 - 68,000; Full time

Benefits offered by this job

Medical, dental & vision

Paid time off

401(k)

Restorative Day

Professional development

Mission-driven culture

Job summary

Christ Community Health Services in Memphis, TN is seeking a knowledgeable Medication Access Specialist to coordinate and process medication prior-authorization requests. You will work with providers, patients, pharmacies, and insurers to ensure timely access to prescribed medications.

The role involves submitting and tracking documentation, resolving denials, and maintaining accurate records while supporting pharmacy workflow and patient service.

Qualifications

• High school diploma or GED.
• Current Tennessee Pharmacy Technician registration or license in good standing.
• Current Certified Pharmacy Technician credential (CPhT) in good standing.
• At least two years of experience in a retail or hospital pharmacy; or at least one year as a pharmacy technician within Christ Community Health Services.
• Working knowledge of pharmacy software and insurance processes.

Responsibilities

• Review and process medication prior-authorization requests accurately and to completion within appropriate timeframes.
• Conduct research and follow-up activities needed to support authorization approval and resolve outstanding issues.
• Maintain communication with patients, providers, retail pharmacies, and insurance companies regarding authorization requirements and status.
• Use eClinicalWorks, Excel, Microsoft Teams, CoverMyMeds, and other online authorization portals to initiate, document, and track requests.
• Use PioneerRx to review patient medication profiles and rebill previous medication fills when appropriate.
• Communicate net revenue gained from completed prior authorizations to appropriate stakeholders.
• Monitor submitted requests and complete timely follow-up on pending authorizations, requests for additional information, denials, and appeals-related next steps.
• Explain authorization outcomes to providers and patients and outline required next steps when additional information is needed or a request is denied.
• Collaborate with insurance companies to clarify coverage policies and documentation requirements.

Skills

Pharmacy experience

Communication skills

Time management

Attention to detail

Education

High school diploma or GED

Tennessee Pharmacy Technician registration

Certified Pharmacy Technician (CPhT)

Associate degree desirable

Bachelor's degree preferred

Tools

Microsoft Office

Excel

Teams

eClinicalWorks

Job description

Christ Community Health Services in Memphis, TN is seeking a knowledgeable Medication Access Specialist to coordinate and process medication prior-authorization requests. You will work with providers, patients, pharmacies, and insurers to ensure timely access to prescribed medications.

The role involves submitting and tracking documentation, resolving denials, and maintaining accurate records while supporting pharmacy workflow and patient service.