Pharmacy Access & Benefits Coordinator

Northwell Health; Village of New Hyde Park (NY); On-site; USD 60,000 - 85,000; Full time

Job summary

Northwell Health in New Hyde Park, NY, seeks a pharmacy benefits specialist to promote timely access to medications. You will investigate insurance benefits, coordinate financial assistance, and facilitate prior authorizations as required.

The role collaborates across an inter-professional team to ensure smooth patient access and excellent service. Ideal candidates have 1–3 years of relevant experience and a high school diploma or equivalent.

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 the 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 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 are essential functions under the ADA.

Skills

Benefits investigation

Prior authorizations

Patient communication

Financial assistance

Education

High School Diploma or equivalent

Job description

Northwell Health in New Hyde Park, NY, seeks a pharmacy benefits specialist to promote timely access to medications. You will investigate insurance benefits, coordinate financial assistance, and facilitate prior authorizations as required.

The role collaborates across an inter-professional team to ensure smooth patient access and excellent service. Ideal candidates have 1–3 years of relevant experience and a high school diploma or equivalent.