Medication Access Coordinator I

Jobtailor; Pennsylvania; On-site; USD 40,000 - 60,000; Full time

Job summary

Jobtailor in Pennsylvania seeks a Pharmacy Support role to conduct benefit investigations, obtain prior authorizations, and guide patients through reimbursement and assistance programs. The position emphasizes strong communication and customer service within a specialty pharmacy setting.

Applicants should have at least 2 years of experience, familiarity with medical terminology, and knowledge of pharmacy reimbursement methods to support care teams and expand patient access to therapies.

Qualifications

• High school diploma or GED is required.
• Minimum of 2 years of related work experience.
• Knowledge of pharmacy reimbursement methodologies.
• Knowledge of third-party payer authorization requirements and criteria.
• Knowledge of patient assistance programs and eligibility requirements.

Responsibilities

• Complete benefit investigations to determine coverage for prescribed treatments.
• Obtain prior authorization for medications and document referrals using third-party payer criteria.
• Educate providers and patients on specialty services.
• Grow the specialty pharmacy’s patient population.
• Float between low- and high-workload areas to provide patient services.
• Track fund award end dates and reapply as necessary to avoid therapy lapses.

Skills

Communication

Customer Service

Healthcare knowledge

Medical Terminology

Education

High School Diploma

GED

Job description

• Complete benefit investigations to determine coverage for prescribed treatments
• Obtain prior authorization for medications and document referrals using appropriate third-party payer criteria
• Research and follow up within established timeframes
• Communicate authorization and assistance application status to care teams
• Maintain knowledge of patient medication assistance foundations, free-drug programs, and drug replacement programs
• Identify appropriate medication assistance programs based on patient affordability discussions
• Complete required paperwork and obtain necessary signatures for assistance program enrollment
• Track fund award end dates and exhaustion and reapply as necessary to avoid therapy lapses
• Educate providers and patients on specialty services
• Grow the specialty pharmacy’s patient population
• Float between low- and high-workload areas to provide patient services
• Comply with job-specific obligations and organizational policies and procedures

Requirements

• High School Diploma or Equivalent (GED) (Required)
• Minimum of 2 years of related work experience (Required)
• Communication
• Computer Literacy
• Customer Service
• Healthcare Industry knowledge
• Medical Terminology
• Workplace Organization
• Knowledge of pharmacy reimbursement methodologies
• Knowledge of third-party payer authorization requirements and criteria
• Knowledge of patient assistance programs and eligibility requirements

Core Competencies

Demonstrates expertise in benefit investigations, prior authorization processes, and patient assistance programs within the healthcare industry. Proficient in medical terminology and pharmacy reimbursement methodologies, ensuring effective communication and customer service.

Highest-signal resume keywords

• Benefit Investigations
• Prior Authorization
• Patient Assistance Programs
• Medical Terminology
• Pharmacy Reimbursement Methodologies

Hard Skills

• Benefit Investigations
• Prior Authorization
• Medical Terminology
• Pharmacy Reimbursement Methodologies
• Third-Party Payer Authorization Requirements
• Patient Assistance Program Enrollment
• Documentation
• Tracking Fund Awards
• Research
• Communication

Soft Skills

• Customer Service
• Workplace Organization
• Communication

Certifications & Qualifications

• High School Diploma
• GED

Industry Keywords

• Healthcare Industry Knowledge
• Patient Affordability Discussions
• Specialty Pharmacy
• Free-Drug Programs
• Drug Replacement Programs