Medication Access Coordinator II

Johns Hopkins Medicine; Baltimore (MD); Hybrid; USD 28,000 - 47,000; Full time

Benefits offered by this job

Career growth and development

Medical, dental, and vision coverage

Tuition reimbursement for you and your

dependents

Employee Referral Program Bonus

And much more! Learn more here

Job summary

Johns Hopkins Medicine seeks a Medication Access Coordinator II to manage prior authorization and patient assistance programs for medications, ensuring timely access. The role collaborates with providers, insurers and patients to collect information and verify eligibility.

Responsibilities include analyzing requests for compliance and driving process improvements to boost efficiency and patient satisfaction, while supporting access to therapies across Johns Hopkins Medicine’s network.

Qualifications

• High School Diploma or Equivalency is required.
• Registration with the Maryland Board of Pharmacy is required upon hire.
• CPhT certification required by the PTCB or NHA.
• 2+ years of experience in pharmacy medical billing and/or insurance verification required.

Responsibilities

• Coordinate prior authorization and patient assistance processes for medications.
• Collaborate with providers, insurers, and patients to gather documentation.
• Analyze requests to ensure compliance with guidelines and hospital policies.
• Engage in continuous process improvement to enhance efficiency and patient satisfaction.

Skills

Pharmacy billing

Insurance verification

Education

High School Diploma or Equivalency

Maryland Board of Pharmacy registration

CPhT certification (PTCB or NHA)

2+ years in pharmacy medical billing/insurance verification

Job description

Since 1983, Johns Hopkins Care at Home has provided safe, high-quality and cost-effective care in the home and community. Our team links care across multiple sites for patients, families and colleagues in an effort to restore, maintain and promote health and reduce the effects of disease and disability. As part of Johns Hopkins Medicine, we have access to the most innovative treatments and latest research, and we emphasize education and training among our team members. We also collaborate with doctors, nurses and specialists throughout Johns Hopkins Medicine to ensure continuity of your care.

The Medication Access Coordinator II coordinates the prior authorization and/or patient assistance program process for medications to ensure timely and appropriate patient access to prescribed therapies. Collaborates with healthcare providers, insurance companies, and patients to gather necessary documentation and information. Analyzes and reviews prior authorization and/or patient assistance program requests to ensure compliance with insurance guidelines and hospital policies. Engages in continuous process improvement to enhance efficiency and patient satisfaction.

Click here to learn about how to elevate your possibilities as you follow one of our employees' journey from a high school graduate to Pharmacy Business Manager, and the relationships she made along the way!

What Awaits You?

• Career growth and development
• Medical, dental, and vision coverage
• Tuition reimbursement for you and your dependents
• Tell a friend and get paid with our Employee Referral Program Bonus!
• And much more! Learn more here

Minimum Qualifications:

• High School Diploma or Equivalency
• Registration with the Maryland Board of Pharmacy is required upon hire.
• CPhT certification required by the PTCB or NHA
• 2+ years of experience in pharmacy medical billing and/or insurance verification required

Shift and Schedule:

Days; Remote

Salary Range:

Minimum 20.53/hour - Maximum 33.90/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.