Pharmacy Access Rep

University of Rochester; United States; On-site; USD 45,000 - 60,000; Full time

Job summary

JobRx, Inc. in Rochester, New York is seeking a dedicated professional to manage medication coordination for patients. Responsibilities include communicating with prescriber’s offices, enrolling patients in financial assistance programs, and providing excellent customer service through the Pharmacy Call Center.

A minimum of an Associate's degree and 4 years of relevant experience is required. The ideal candidate should have strong problem-solving abilities and effective communication skills.

Qualifications

• 4 years of relevant experience required, or equivalent combination of education and experience.
• Completed ASHP-accredited training program preferred.

Responsibilities

• Manages medication coordination and removes barriers for patients.
• Communicates with prescriber’s office for necessary prescription information.
• Enrolls patients in financial assistance programs and monitors progress.

Skills

Strong communication skills

Problem-solving abilities

Customer-relations skills

Ability to multi-task

Education

Associate's degree in a Medical, Secretarial, or related field

Certification from a nationally accredited pharmacy technician certification program

Job description

Job Location

120 Corporate Woods, Rochester, New York, United States of America, 14623

Opening

Work Shift: UR - Day (United States of America)

Range: UR URCA 206 H

Compensation Range: $21.71 - $29.31

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries or hourly rates will be set within the job's compensation range based on market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

General Purpose: Manages medication coordination and removes barriers that prevent patients from receiving their medications. Communicates with the prescriber's office to acquire necessary information to submit prescriptions to the patient's insurance for approval, including prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication. Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care.

• Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to high-cost drugs prescribed in assigned area(s). Analyzes patients on high-cost medications for potential participation in PAPs and identifies the best options given their circumstances (insurance, disease state, income, etc.). Coordinates with patient and/or family to obtain necessary information (income and other personal details) and presents PAP options when multiple options exist.
• Enrolls patients in PAPs using needed permission and information, follows up to determine application status, and ensures proper documentation throughout treatment. Submits required documentation to the PAP to verify ongoing payment for each prescription refill.
• Understands and manages the payment process specific to each PAP, ensuring payments are properly accounted for the correct patient and encounter. Meets or discusses with patient and/or family PAP eligibility status as needed when coverage changes.
• Serves as a subject matter expert for patients, providers, and staff on financial assistance resources, including PAPs, grants, foundations, manufacturer coupons, and social work. Collaborates with social services and case management on patient assistance.
• Coordinates medication and supplies preparation with pharmacy staff for timely delivery. Troubleshoots insurance issues with pharmacists, physicians, and staff to prevent treatment interruptions.
• Follows up with patients to ensure safe and effective medication use. Documents medication problems (delivery issues, side effects, adherence, administration difficulties) and triages issues to the pharmacist when appropriate.
• Coordinates medication ordering with inventory manager for special orders or low-volume medications. Tracks prescribing trends and coordinates with inventory manager to adjust stock as needed.
• Places scheduled calls to patients to bill prescriptions and set up deliveries. Facilitates adherence to medications by ensuring timely receipt by patients.
• Provides excellent customer service through the Pharmacy Call Center. Triages patient calls to appropriate parties and answers incoming calls promptly.
• Monitors and reconciles patient charge accounts monthly. Reports errors through the hospital error reporting system and participates in quality improvement initiatives. Assists with prescription audits and ensures timely completion of required patient documentation. Assists with training of new team members in the designated clinical area.
• Maintains expertise in policies of common payors for administered drugs requiring prior authorization (PA). Works with prior authorization coordinators, office staff nurses, and other patient care staff to ensure policy applicability before requesting PA. Initiates, documents, and tracks all prior authorization to improve patient experience, ensure compliance, and prevent interruptions or delays in treatment.
• Performs other duties as assigned.

Minimum Education & Experience

Associate's degree in a Medical, Secretarial, or related field and 4 years of relevant experience required. Or equivalent combination of education and experience.

Knowledge, Skills & Abilities

• Capable of working independently with minimum supervision.
• Strong communication skills, problem‑solving abilities, and professional presentation required.
• Demonstrated customer‑relations skills required.
• Ability to multi‑task, manage many details with accuracy, work under pressure, and maintain a professional attitude required.

Licenses and Certifications

• Completed ASHP‑accredited training program or equivalent experience as a pharmacy technician preferred.
• Certification from a nationally accredited pharmacy technician certification program (currently PTCB) and maintenance of ongoing education requirements preferred.

Equal Opportunity Employer Statement

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non‑discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.