Medication Access Coordinator - Main Outpatient Pharmacy - Full Time - Days

The Christ Hospital Health Network; Cincinnati (OH); On-site; USD 42,000 - 64,000; Full time

Job summary

The Christ Hospital Health Network in Cincinnati, OH seeks a Medication Assistance Program Coordinator to support pharmacists, physicians, patients, and managers in administering patient assistance programs.

The role includes interviewing patients, determining eligibility, and coordinating enrollment with physicians and clinic staff to ensure timely access to medications. Strong communication and data management skills are essential for this position.

Qualifications

• Two years of experience working directly with customers in a healthcare or service setting.
• Experience handling financial and/or clinical information.
• Experience with financial eligibility or third‑party programs.
• Experience with database software programs.

Responsibilities

• Demonstrate a working knowledge of patient assistance programs, including new programs and third‑party billing.
• Serve as a resource for billing problems and Medicaid/Part D plan selection.
• Collaborate with physicians and clinic staff to identify potential patients for enrollment.
• Interview patients to determine qualification for patient assistance programs.

Skills

Communication

Data management

Third-party programs

Database software

Education

Associate or Bachelor’s degree

Job description

Job Description

Under the supervision of the Assistant Director of Pharmacy, the Medication Assistance Program Coordinator will provide support to pharmacists, physicians, patients, clinical pharmacy practitioners /specialists and managers in all aspects of administering patient assistance programs. Maintains a working knowledge of safety net and other patient assistance programs and interviews patients to determine their potential qualification.

Responsibilities

• Demonstrate a working knowledge of patient assistance programs, including new programs, third‑party billing (Medicare, Ohio Welfare, Part D), Co‑Pay Assistance, and insurance verification.
• Serve as a resource person for billing problems (ICD‑9, HCPCS), Part D and Medicaid MCO plan selection, Part D LIS.
• Collaborate with physicians, clinic staff, case managers, pharmacy staff and Social Service to identify potential patients for enrollment both inpatient and outpatient.
• Interview patients to determine potential qualification for patient assistance programs by reviewing health/prescription insurance and financial status.
• Obtain clinical information from patient charts specific to program requirements.
• Communicate with patient assistance program representatives to enroll patients.
• Collaborate with physicians and clinic staff regarding additional documentation and signatures necessary for completion of enrollment form.
• Facilitate approval process with assistance program representative.
• Record patient‑specific drug supply shipment information and communicate with patient and health care professionals as necessary to facilitate patient care.
• Communicate with assistance program representatives, patients, physicians and other parties as necessary for maintenance of patients in assistance program.
• Maintain a list of current and potentially new patients.
• Serve as a resource person in planning, implementing and expanding access to patient assistance program.
• Maintain communication with The Christ Hospital Medicine Clinic for potential free medication or co‑pay assistance and communicate with TCHHN, Pulmonary, and Rheumatology offices to schedule delivery of free medication for ambulatory procedure patients.
• Assist in problem identification and problem resolution activities with other health professionals that occur whether short term (their shift) or long term (continuous quality improvement).
• Provide patient assistance program, co‑pay, foundation in‑service/training to physicians, clinic, and office staff as needed for new and/or changes to existing program.
• Complete activities to enable patients to receive specialty medication in a timely and affordable manner.
• Adjudicate prescription claims as needed and work with payors for approval.
• Enroll patients in co‑pay assistance (co‑pay card, foundation funding, manufacturer‑provided assistance programs) as needed.
• Follow up with patients to schedule refills.
• Set up appropriate medication delivery.
• Prepare and provide to Director of Pharmacy Services a report of drug expense avoidance as needed for each service.
• Perform other duties as deemed necessary by the Director of Pharmacy.
• Promote a positive image of both The Christ Hospital and the Department of Pharmacy Services in all dealings with other hospital employees and guests.

Qualifications

Knowledge and Skills

• Excellent communication and interview skills.
• Experience in managing financial and/or clinical information.
• Experience working with financial eligibility or third‑party programs.
• Experience working with database computer software programs.

Education

• Associate or Bachelor’s degree with two years of experience working directly with customers.

Licenses & Certifications

• Pharmacy Technician Certification.