Medication Access Coordinator I

Geisinger; Danville (PA); Sur place; USD 42 000 - 66 000; Plein temps

Résumé du poste

Geisinger in Danville, PA seeks a qualified professional to manage prior authorizations and referrals for medications, research payer criteria, and assist patients with available programs. You will collaborate with the care team to provide authorization updates and ensure enrollment paperwork is complete, while supporting overall specialty pharmacy operations.

Based at our Danville office, you will contribute to improving patient access and outcomes by educating providers and patients on

Description du poste

• Completes prior authorization and documents referrals for all medications reviewed using appropriate third-party payer criteria.
• Conducts research and follow-up activities within established timeframes. Maintains knowledge of criteria changes of third-party payor authorization requirements.
• Communicates with care team to provide details on authorization status.
• Maintains knowledge of all available patient assistance programs and eligibility requirements.
• Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment.
• Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s).
• Tracks fund award end dates and exhaustion, re-apply as necessary to avoid lapse in therapies.
• Communicates with care team to provide details on status of assistance applications.
• Educate providers and patients on specialty services and how this improves overall patient care. Grow the specialty pharmacy’s patient population.
• Floats from areas of low workload to areas of heavy workload as needed to provide optional patient services.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

*Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).