Medication Access Specialist

Froedtert Health; Menomonee Falls (WI); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Paid time off

Growth opportunities

Retirement plan – 403b

Medical, Dental, Vision, Life Insurance

Employee Assistance Programs

Discounts on gym memberships

Job summary

Froedtert Health is seeking a Medication Access Specialist to join their Pharmacy Department in Menomonee Falls, WI. This hybrid position involves ensuring financial viability for patients by liaising with healthcare and insurance parties, handling appeals, and assisting with medication coverage.

The ideal candidate will have at least 3 years of relevant experience and essential skills in communication and organization. In addition to competitive pay, the role includes a sign-on bonus and a comprehensive benefits package.

Qualifications

• Minimum of 3 years of experience in pharmacy, healthcare, or health insurance environment.
• Knowledge of health insurance terminology, billing, and hospital practices.
• Application for Wisconsin registration as a Pharmacy Technician required by hire date.

Responsibilities

• Act as a liaison between patients, physicians, pharmacy, and insurance providers.
• Assure financial viability of patients through continuum of care.
• Review electronic medical records for pertinent information.

Skills

Attention to detail

Effective interpersonal skills

Organizational skills

Problem-solving

Education

High School diploma or equivalent

4-year degree

Graduate of ASHP accredited pharmacy tech training program

Tools

EPIC

Insurance portals

McKesson Enterprise

Job description

#BeHere

Location: US:WI:MENOMONEE FALLS at our INTEGRATED SERVICE CENTER facility.

Schedule: Monday-Friday working 8AM-4:30PM, no weekends or holidays.

Shift: 1

Standard Hours: 40.00

FTE: 1.000000

Job Type: Hybrid

Sign-on Bonus: $5,000

Job Summary

The Medication Access Specialist is a dedicated member of the Pharmacy Department team who is responsible for assuring the financial viability of patients as they flow through the continuum of care. The role acts as the liaison between patients, physicians’ offices, pharmacy, insurance providers, foundations, manufacturers or other necessary parties to initiate and resolve appeals, obtain financial prescription assistance, secure medication insurance coverage or assistance, edit authorizations of medications, monitor patients' insurance status, facilitate medication refill requests, and communicate insurance issues to treatment team. The specialist reviews electronic medical records for patients to gather pertinent information for submission, appeal, and resolution of prior authorizations and medication refill requests, updates documentation as needed, and maintains communication with physicians’ office and other parties through telephone, in-basket messaging, and electronic medical record. The role includes appropriate follow-up with physicians’ office, interpreting insurance documents and patient charts, engaging in written and verbal communication, problem solving, effective time management, prioritizing tasks, and performing additional duties as assigned.

Experience

A minimum of 3 years of experience in pharmacy, healthcare, managed care, or other health insurance environment is required. Knowledge of health insurance and pharmacy insurance benefit verification, health insurance terminology, billing, managed care contracting, hospital reimbursement, and hospital admitting and registration practices is required.

Education

High School diploma or equivalent is required. 4-year degree preferred. Graduate of ASHP accredited pharmacy tech training program preferred.

Special Skills

Proven attention to detail. Experience with third‑party insurance and medication/co‑pay assistance programs. Effective interpersonal skills, including the ability to develop collaborative alliances, promote teamwork, and ensure a high degree of internal and external customer satisfaction. Outstanding organizational and follow‑up skills. Experience with various computer systems and programs (such as EPIC, insurance portals, McKesson Enterprise, etc.). Quick learner. Ability to work independently and take programmatic initiative. Ability to function in a fast‑paced and changing environment and balance multiple priorities. Experience with navigating an Electronic Health Record.

Licensure

Application for Wisconsin registration as a Pharmacy Technician is required by hire date and must be obtained within 12 months of hire. Staff hired into this role prior to 3/31/23 must have applied for Wisconsin registration by 3/31/23 and have until 3/31/24 to obtain registration. Certification through Pharmacy Technician Certification Board or National Healthcare Association (ExCPT) required within the first 6 months of hire.

Perks and Benefits

• Paid time off
• Growth opportunity – Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan – 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work‑life benefits available

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages, and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262‑439‑1961. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262‑439‑1961. We will attempt to fulfill all reasonable accommodation requests.