Pharmacy Access & HME Coordinator III

University of Rochester; Bellwood (NE); On-site; USD 46,000 - 62,000; Full time

Job summary

University of Rochester is seeking a Pharmacy Access Representative III to manage medical equipment coordination, insurance coverage verification, and claims submission. The role includes patient education, coordination with providers, and ensuring timely delivery of equipment.

Responsibilities emphasize payer coordination, quality and compliance, and cross-functional communication with pharmacists, staff, and external payers. Strong attention to confidentiality and HIPAA guidelines is required.

Qualifications

• Must be at least 18 years old.
• Associate's degree in medical/secretarial or related field plus 4 years of relevant experience, or equivalent.
• Knowledge, skills and abilities include independent work, communication, problem solving, and multi-tasking.

Responsibilities

• Verify insurance coverage and determine eligibility.
• Coordinate prior authorizations and submit claims timely.
• Assist with patient education and facilitate delivery of equipment.

Skills

Independent work

Multi-tasking

Strong communication

Problem solving

Education

Associate's degree in medical/secretarial or related field

Job description

University of Rochester is seeking a Pharmacy Access Representative III to manage medical equipment coordination, insurance coverage verification, and claims submission. The role includes patient education, coordination with providers, and ensuring timely delivery of equipment.

Responsibilities emphasize payer coordination, quality and compliance, and cross-functional communication with pharmacists, staff, and external payers. Strong attention to confidentiality and HIPAA guidelines is required.