Medication Access Coordinator

Regional Health Services of Howard County; Des Moines (IA); On-site; USD 40,000 - 54,000; Full time

Job summary

A leading health care provider is seeking a Medication Access Coordinator in Des Moines, IA. This role involves liaising with patients and healthcare providers to ensure access to necessary medications while maintaining compliance with healthcare regulations. Ideal candidates should possess a Pharmacy Technician License and prior pharmacy experience.

Qualifications

• Must be at least 18 years of age.
• 2-3 years of pharmacy experience required.
• Knowledge of health benefit investigations and medical terminology preferred.

Responsibilities

• Provide medication adherence support and prescription assistance.
• Facilitate communication among patients, pharmacists, payers, and providers.
• Conduct insurance benefit investigations and support patients in financial aid access.

Skills

Communication

Problem Solving

Organizational Skills

Confidentiality

Education

High School diploma or GED

Iowa Board of Pharmacy Certified Pharmacy Technician License

Tools

Microsoft Office

Electronic Medical Records systems

Job description

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Description

The Population Health Pharmacy Technician is a unique role that provides integrated support to patients, pharmacists, and other clinicians by facilitating our medication adherence and prescription assistance programs and is related to the growth and maintenance of PHSO Pharmacy business operations. The Population Health Pharmacy Technician works closely with patients and clinicians to deliver a full continuum of medication adherence support utilizing various tools and applications. The Population Health Pharmacy Technician is also responsible for performing assigned tasks that require ability for independent judgment and increased competency skills relating to patient medication therapy. As a key individual providing pharmacy services, the Population Health Pharmacy Technician is responsible for liaising between patients, pharmacies, payers, and providers with high accountability for follow through and task management.

• Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information
• Review payer reports and determine appropriate course of action for management
• Determine daily task priorities based on business need
• Is flexible and able to adapt to changes, resolve unexpected problems, and handle different tasks and responsibilities without compromising the quality of work
• Triage patients need and assign to appropriate staff
• Organize work according to patient/customer needs
• Communicate with external entities as needed
• Perform all insurance benefit investigation, review claim rejects, overrides, etc.
• Work with patients to find financial aid (grants, manufacturing programs, discount cards etc.) to ensure they have access to the medications they need
• Provide direct support to patients to ensure that they are supported through their therapy regimen and achieve their intended outcome
• Ability to prioritize patient needs
• Serve as a liaison between clinicians, care coordinators, pharmacy, and assistance programs to ensure patient support throughout the treatment of their care
• Independently identify and/or manage designated tasks and prioritize work
• Create and/or maintain detailed resources and documents related to business operations and workflow
• Coordinate patient care activities and scheduling
• Use independent judgment and provide recommendations to care team members and clinicians as appropriate
• Access, input, and retrieve information through the Care Management computer network to maintain accurate records
• Participate in scheduled PSHO meetings
• Comply with established procedures, rules, and regulations
• Conduct outreach calls to patient and PHSO staff
• Handle patient issues in a calm manner and referring them to the pharmacist accordingly and notify the pharmacist of any issues
• Promote teamwork, professional services, and clear communication
• Recognize and adhere to the scope / limitations of job requirements
• Perform other related duties as assigned
  
  

Employment Type

Full time

Shift

Description

The Population Health Pharmacy Technician is a unique role that provides integrated support to patients, pharmacists, and other clinicians by facilitating our medication adherence and prescription assistance programs and is related to the growth and maintenance of PHSO Pharmacy business operations. The Population Health Pharmacy Technician works closely with patients and clinicians to deliver a full continuum of medication adherence support utilizing various tools and applications. The Population Health Pharmacy Technician is also responsible for performing assigned tasks that require ability for independent judgment and increased competency skills relating to patient medication therapy. As a key individual providing pharmacy services, the Population Health Pharmacy Technician is responsible for liaising between patients, pharmacies, payers, and providers with high accountability for follow through and task management.

Essential Position Expectations

• Understand confidentiality with respect to patient/client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information
• Review payer reports and determine appropriate course of action for management
• Determine daily task priorities based on business need
• Is flexible and able to adapt to changes, resolve unexpected problems, and handle different tasks and responsibilities without compromising the quality of work
• Triage patients need and assign to appropriate staff
• Organize work according to patient/customer needs
• Communicate with external entities as needed
• Perform all insurance benefit investigation, review claim rejects, overrides, etc.
• Work with patients to find financial aid (grants, manufacturing programs, discount cards etc.) to ensure they have access to the medications they need
• Provide direct support to patients to ensure that they are supported through their therapy regimen and achieve their intended outcome
• Ability to prioritize patient needs
• Serve as a liaison between clinicians, care coordinators, pharmacy, and assistance programs to ensure patient support throughout the treatment of their care
• Independently identify and/or manage designated tasks and prioritize work
• Create and/or maintain detailed resources and documents related to business operations and workflow
• Coordinate patient care activities and scheduling
• Use independent judgment and provide recommendations to care team members and clinicians as appropriate
• Access, input, and retrieve information through the Care Management computer network to maintain accurate records
• Participate in scheduled PSHO meetings
• Comply with established procedures, rules, and regulations
• Conduct outreach calls to patient and PHSO staff
• Handle patient issues in a calm manner and referring them to the pharmacist accordingly and notify the pharmacist of any issues
• Promote teamwork, professional services, and clear communication
• Recognize and adhere to the scope / limitations of job requirements
• Perform other related duties as assigned
  
  

Mental & Physical Demands

• Must be able to pass a pre-employment drug screening test at time of hire
• Work onsite with regular and predictable attendance
• Maneuver within the physical work environment with some bending, stooping, reaching, and light lifting
• Constantly able to use hands and fingers to type, write, and file. Frequently able to use near vision for viewing computer monitor and written materials.
  
  

Occasionally required to detect unusual odors that could indicate environmental issues

• Ability to travel to assigned regions, other MercyOne or community facilities. May drive a MercyOne vehicle, rental or own vehicle
• Use of usual and customary equipment used to perform essential functions of the position
  
  

Qualifications And Requirements

• High School diploma or GED required
• Must be at least 18 years of age
• Iowa Board of Pharmacy Certified Pharmacy Technician License with 2-3 years of pharmacy experience. (Community, Inpatient, Ambulatory, Insurance. Etc.)
• Alternative medical licensure may also be considered, (i.e., social worker, etc.)
• Knowledge of health benefit investigations, prior authorization support, patient financial assistance, medical terminology, diagnoses, and procedures
• Proficient in Microsoft Office products
• Knowledge of Electronic Medical Records systems highly preferred
• Ability to work across business lines effectively and communicate clearly with colleagues and patients/customers
• Knowledge of health care payers, value-based contracts, and CMS star ratings is highly preferred
• Completion of Mandatory Reporter abuse training for child and dependent adult abuse within three (3) months of hire
  
  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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