Medication Access Coordinator - Experienced Pharmacy Technician

Nebraska Medicine; United States; Hybrid; USD 55,000 - 80,000; Full time

Benefits offered by this job

Tuition assistance up to $5,000/year

35% Clarkson College discount

Career advancement opportunities with/

Job summary

Nebraska Medicine in Omaha, NE seeks a Medication Access Coordinator (Full-time, First Shift) to determine and support patients' access to medications, focusing on third-party prior authorization and billing processes.

The role includes enrollment in grants and assistance programs, face-to-face/virtual bedside service, and communication of medical histories to payers; remote work is allowed with residency in Nebraska or Iowa after in-office training. 8-hour days, Monday–Friday.

Qualifications

• Minimum of three years healthcare and/or insurance/third party reimbursement experience required.
• High school education or equivalent required.
• Demonstrated ability to independently assess clinical situations and make evidence-based medication decisions affecting patient care required.
• Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.
• Ability to solve problems independently and must be strongly vested in team management required.
• Ability to multi-task and excel in a dynamic environment required.
• Experience with various computer mainframe, network, web based and payer applications required.
• Must register with the State of NE as a pharmacy technician required.
• Must complete Pharmacy Technician Certification within one year required.

Responsibilities

• Medication Access Coordinator determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits.
• Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities.
• Provide a Face-to-Face/virtual bedside oriented service that delivers comprehensive fiscal options to patients.
• Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party.
• Verify eligibility, pharmacy benefit provisions and support the appeals process.

Skills

Interpersonal skills

Multi-tasking

Team management

Problem solving

Healthcare experience

Pharmacy knowledge

Education

High school education or equivalent

Associate's degree preferred

Job description

Position Overview

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.

Shift: First Shift (United States of America) Medication Access Coordinator - Full-time - First Shift. Shift: Full Time - 1.0 FTE (80 hours in a pay period). Working 8-hour days, Monday – Friday with start times between 7:00 AM to 10:00 AM. Hybrid scheduling available after 3 months of in-office training. Must reside in either Nebraska or Iowa.

Location & Working Arrangements

This position works at our Central Fill location for Nebraska Medicine, and the office is located near 114th and Dodge in Omaha, NE. While this role allows for remote work, employees must reside in either Nebraska or Iowa.

Why Work at Nebraska Medicine?

Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.

Leading Health Network. Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.

Dignity and Respect. We value diverse backgrounds and experiences, reflecting the communities we serve.

Educational Support. Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.

Duties

Medication Access Coordinator determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to-Face/virtual bedside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process.

Required Qualifications

• Minimum of three years healthcare and/or insurance/third party reimbursement experience required.
• High school education or equivalent required.
• Demonstrated ability to independently assess clinical situations and make evidence-based medication decisions affecting patient care required.
• Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.
• Ability to solve problems independently and must be strongly vested in team management required.
• Ability to multi-task and excel in a dynamic environment required.
• Experience with various computer mainframe, network, web based and payer applications required.
• Must register with the State of NE as a pharmacy technician required.
• Must complete Pharmacy Technician Certification within one year required.

Preferred Qualifications

• Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.
• Associate's degree in business, healthcare or related field preferred.
• Bi-lingual preferred.
• Prior Authorization experience in specialty or retail pharmacy preferred.
• 340B knowledge and experience preferred.
• Apexus 340B OnDemand Certificate preferred.

Equal Opportunity Employer

Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.

Nebraska Medicine includes two hospitals, the state's largest and highest rated Nebraska Medical Center and Bellevue Medical Center, along with more than 70 primary care and specialty clinics. Nebraska Medicine and our research and education partner, the University of Nebraska Medical Center (UNMC), share the same mission: to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care. Every colleague plays a key role in upholding our promise of “Serious Medicine, Extraordinary Care” to our patients and their families. Working with Nebraska Medicine means committing to meaningful, impactful work that will elevate the success of your fellow colleagues and will help our patients and their families feel comfortable, confident and cared for.

For additional information about this position, please contact Breanna Hutchinson, [e-mail]