Pharmacy Access & Benefits Coordinator

Northwell; Village of New Hyde Park (NY); On-site; USD 50,000 - 65,000; Full time

Job summary

Northwell Health in New York is seeking a Pharmacy Benefits Specialist to collaborate with an inter-professional team to promote timely access to medications and coordinate financial assistance. You will work with payers, patients, and families to resolve insurance issues and facilitate prior authorizations.

The role emphasizes exceptional customer service, accurate benefits verification, and guiding patients to programs that reduce out-of-pocket costs.

Qualifications

• High School Diploma or equivalent is required.
• 1-3 years of relevant experience is required.

Responsibilities

• Collaborates with inter-professional team to enhance communication, coordinate care, and improve patient satisfaction.
• Serves as front line subject matter expert on outpatient pharmacy services, prescription insurance benefits, and financial assistance.
• Coordinates with stakeholders to ensure timely access to medications.
• Partners with patients to determine most appropriate sources for their medication needs and refers patients to appropriate programs and resources.
• Reviews prescriptions with outpatient pharmacies to confirm which medications need to be dispensed and provides necessary timeline for dispensing.
• Resolves insurance related issues and coordinates prior authorization requirements.
• Identifies financial assistance (e.g., manufacturers’ assistance, copay assistance, vouchers) programs to reduce out of pocket expenses for patients.
• Exhibits exceptional customer service during interactions with patients, caregivers, and other health care professionals.
• Provides routine feedback with respect to program impact and areas for improvement to site and organizational leadership.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Skills

Customer service

Pharmacy benefits

Prior authorization

Communication

Education

High School Diploma or equivalent

Job description

Northwell Health in New York is seeking a Pharmacy Benefits Specialist to collaborate with an inter-professional team to promote timely access to medications and coordinate financial assistance. You will work with payers, patients, and families to resolve insurance issues and facilitate prior authorizations.

The role emphasizes exceptional customer service, accurate benefits verification, and guiding patients to programs that reduce out-of-pocket costs.