Medication Coordinator I

APLA Health; Los Angeles (CA); On-site; USD 70,000 - 100,000; Full time

Job summary

APLA Health is seeking a Medication Coordinator I to support the Pharmacy department. The successful candidate will track medication requests and assist patients with prior authorizations and patient assistance programs, adhering to established care standards. Ideal for individuals seeking a rewarding role in health care, particularly in a diverse community setting.

Qualifications

• High school diploma or GED required.
• Current Medical Assistant certificate or California Pharmacy Technician certificate required.
• Minimum one year of relevant experience preferred.

Responsibilities

• Process and track all requests for refills and prior authorizations.
• Contact insurance carriers to verify medication eligibility.
• Maintain communication with patients regarding their medication status.

Skills

Knowledge of medical terminology

Ability to use computerized patient care systems

Experience working with diverse populations

Ability to engage in community building

Ability to multitask

Education

High school diploma or GED

Current Medical Assistant certificate or California Pharmacy Technician certificate

Job description

1 week ago Be among the first 25 applicants

Position Summary

Under the direct supervision of the Director of Pharmacy, the Medication Coordinator I will process and track all request for refills, prior authorizations, and patient assistance program. The Medication Coordinator I will perform their duties within the established standards of care, policies and procedures of APLA Health & Wellness.

• Obtain prior authorizations (PA) for medications.
• Contact insurance carriers to verify medication eligibility and requirements.
• Request, track and obtain prior authorizations from insurance carriers. Facilitate appeals as needed.
• Request, and track medications requested via the patient assistance program.
• Communicate any insurance changes or trends among the team. Provide updates to local, state, & federal benefits. Gather feedback as provided and relay to program leads.
• Clearly document all communications and contacts with insurance companies, PBOs and pharmacies.
• Stay up to date on all avenues of medication access for patients, including public benefits and programs that may serve as payers of last resort. Evaluate patient candidacy appropriately. Facilitate enrollment of qualifying patients, coordinating with other team members if necessary.
• Complete and manage forms/applications to process medications via the Patient Assistant Program, delegate as appropriate.
• Maintain patients informed on status of patient assistance program, PAs approvals or denials and document in patients electronic health record.
• Process refill medications request
• Provide medication information and education to patients, following established protocols and guidelines.
• Document pertinent patient information following established protocols.
• Adheres to all OSHA PPE safety requirements.
• Maintain working knowledge of in-house pharmacy software platform in order to readily acquire prescription claims information.
• Perform data processing when working in pharmacy as typist or clerk.
• Participate in case conferences as needed.
• Will travel to other APLA Health sites as needed.
  
  

Position Summary

Under the direct supervision of the Director of Pharmacy, the Medication Coordinator I will process and track all request for refills, prior authorizations, and patient assistance program. The Medication Coordinator I will perform their duties within the established standards of care, policies and procedures of APLA Health & Wellness.

Essential Duties And Responsibilities

• Obtain prior authorizations (PA) for medications.
• Contact insurance carriers to verify medication eligibility and requirements.
• Request, track and obtain prior authorizations from insurance carriers. Facilitate appeals as needed.
• Request, and track medications requested via the patient assistance program.
• Communicate any insurance changes or trends among the team. Provide updates to local, state, & federal benefits. Gather feedback as provided and relay to program leads.
• Clearly document all communications and contacts with insurance companies, PBOs and pharmacies.
• Stay up to date on all avenues of medication access for patients, including public benefits and programs that may serve as payers of last resort. Evaluate patient candidacy appropriately. Facilitate enrollment of qualifying patients, coordinating with other team members if necessary.
• Complete and manage forms/applications to process medications via the Patient Assistant Program, delegate as appropriate.
• Maintain patients informed on status of patient assistance program, PAs approvals or denials and document in patients electronic health record.
• Process refill medications request
• Provide medication information and education to patients, following established protocols and guidelines.
• Document pertinent patient information following established protocols.
• Adheres to all OSHA PPE safety requirements.
• Maintain working knowledge of in-house pharmacy software platform in order to readily acquire prescription claims information.
• Perform data processing when working in pharmacy as typist or clerk.
• Participate in case conferences as needed.
• Will travel to other APLA Health sites as needed.
  
  

Qualifications

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

Requirements

Training and Experience

• High school diploma or GED.
• Current Medical Assistant certificate and/or California Pharmacy Technician certificate.
• Minimum one year experience evaluating eligibility, including both commercial and public benefits a plus
• Experience working in a nonprofit ASO environment a plus; specific training/experience with HIV/AIDS-related issues a plus.
  
  

Knowledge of

• Knowledge and experience working with target populations, including individuals who share injection paraphernalia, gay and non-gay identified men, youth, women, and transgender individuals a plus.
• HIPAA certified and knowledge of informed consent.
• Knowledge of medical terminology.
• Knowledge of MSDS and emergency treatments.
  
  

Ability to

• Ability to use computerized patient care systems.
• Work in dependently with minimal direction.
• Work effectively with diverse staff, volunteers and professionals.
• Be at ease and work with a diverse group (ethnic, class, gender, sexual orientation) of individuals who may hold a wide range of opinions regarding prevention needs.
• Engage in community/coalition building.
• Multitask.
• Meet multiple deadlines in a rapidly changing environment
• Maintain patient confidentiality.
• Ensure that services have the following qualities: 1) nonjudgmental 2) are harm reduction focused 3) are sex positive 4) are LGBT positive.
  
  

Working Conditions/Physical Requirements

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position

requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.

Special Requirements

Must possess a valid California driver's license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. Some weekend/evening work may be required. Local travel (within LA County) is required and some out-of-town and national travel may be required.

COVID-19 and Booster or Medical/ Religious exemption required.

Equal Opportunity Employer: minority/female/disability/ transgender/ veteran.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at APLA Health by 2x

Get notified about new Coordinator jobs in Los Angeles, CA.

Los Angeles, CA $70,000.00-$100,000.00 1 month ago

Beverly Hills, CA $23.43-$28.64 2 weeks ago

Burbank, CA $64,300.00-$86,200.00 5 days ago

Assistant, Media & Strategic Development

Los Angeles, CA $17.95-$23.00 16 hours ago

Los Angeles Metropolitan Area $85,000.00-$95,000.00 2 weeks ago

Client Experience Coordinator (Long-Term Temporary Assignment) - Beverly Hills

Assistant Manager, Brand & Product Marketing

Culver City, CA $73,000.00-$85,000.00 1 week ago

Culver City, CA $42,000.00-$79,800.00 5 days ago

Publicity Coordinator, Series, Amazon MGM Studios

Los Angeles, CA $100,000.00-$125,000.00 1 month ago

Coordinator, Acquisition & Program Operations

Burbank, CA $46,286.00-$85,960.00 4 days ago

Beverly Hills, CA $25.00-$31.25 9 hours ago

Human Resources Associate (External Agency Staff)

CABLE TELEVISION PRODUCTION ASSISTANT - CitiCABLE

Executive Assistant, Marketing & Creative

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.