Pharmacy Patient Access Coordinator

WVU Medicine; Morgantown (WV); On-site; USD 25,000 - 39,000; Full time

Job summary

WVU Innovations Corporation in Morgantown, WV seeks a Pharmacy Patient Access Coordinator to coordinate manufacturer free drug programs, gather patient demographics and insurance details, and process program applications with attention to accuracy and timeliness.

The role requires collaboration with the patient care team, handling denials, and maintaining comprehensive patient records while delivering exceptional customer service.

Qualifications

• Bachelor’s degree plus 1 year of leadership/healthcare/pharmacy experience or
• Associates degree plus 3 years healthcare/pharmacy exposure; or
• High school diploma plus 5 years healthcare/pharmacy experience.

Responsibilities

• Coordinate and manage manufacturer free drug programs to support patient care.
• Communicate with providers, office staff, and patients to obtain medication orders and financial information.
• Submit applications to manufacturer programs and review denials with revenue integrity teams.
• Maintain patient records and ensure timely, accurate documentation.
• Provide excellent customer service and be a resource for staff and patients.

Skills

Leadership experience

Pharmacy knowledge

Customer service

Communication skills

Education

Bachelor’s degree + 1 year leadership/healthcare/pharmacy

Associates degree + 3 years healthcare

High school diploma + 5 years healthcare

Tools

WV Board of Pharmacy licensure

PTCB/NHA certification

Job description

Pharmacy Patient Access Coordinator### Pharmacy Patient Access CoordinatorApply: WVU Innovations Corporation: Full time: Posted Today: JR26-49486## Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.Coordinates, processes and manages manufacturer free drug program participants. Communicates with providers, office staff, & patients to obtain medication orders & financial information, to submit application to manufacturer programs. Communicates with system denials & revenue integrity teams to review claim edits & denials related to pharmaceuticals to ensure proper billing & payment. The successful candidate will ensure timely and accurate completion pharmacy patient access related needs. The candidate should have a strong knowledge of pharmacy and ability to communicate effectively while providing superb customer service.**MINIMUM QUALIFICATIONS****:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**1. Bachelor’s degree **AND** One (1) year of leadership, healthcare, or pharmacy experience;**OR**Associates degree **AND** Three (3) year’s pharmacy, leadership, or healthcare experience;**OR**High school diploma or equivalent **AND** Five (5) year’s pharmacy, leadership, or healthcare experience.2. Must possess current licensure as required by state board where services will be provided: **WV:**Pharmacy Technician License or Trainee License through West Virginia Board of Pharmacy3. Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) within 15 months of hire.**CORE DUTIES AND RESPONSIBILITIES:** The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.1. Manages and monitors the workflow of manufacturer free drug programs to provide efficient patient care.2. Routinely evaluates patient workload and provides recommendations for redistributing in efficient and equitable manner.3. Gathers and documents patient demographics, insurance information, financial status, and other data as needed.4. Initiates follow up communication, schedules deliveries as needed, and works closely with patient care team on treatment plans.5. Conducts and documents staff departmental orientation and training. Manages new employee orientation in all enterprise pharmacy solutions service areas.6. Drafts various correspondence letters, denial appeals, and referrals when necessary.7. Develops and maintains strong working relationships with external, free drug programs, foundations, and vendors.8. Performs medical benefit prior authorizations & benefit investigations for medications provided in clinics or infusion centers at various system facilities as requested.9. Provides suggestions for staffing as needed based on planned and unplanned employee absences.10. Manages & maintains all patient records in a timely and complete manner following department templates and guidelines.11. Meets with DOPs of assigned hospitals on a routine basis to ensure high quality of service is being met.12. Communicates with system denials team to resolve medication related denials, including pulling proof of medical necessity and coordinating written appeals from providers or clinical team.13. Communicates with system revenue integrity team to ensure coding & billing quantities are accurate to our knowledge prior to billing in attempt to limit denials.14. Manages & maintains current state and national registration/certifications.15. Performs in a manner that promotes the work of the pharmacy patient access team and manages expansion of services at assigned sites as needed.16. Extracts clinical notes, labs, and other scanned media in patient’s electronic medical record as necessary to complete assigned tasks.17. Participates in division meetings with manager.18. Consistently ensures that department and hospital policies and procedures are followed and updated as necessary.19. Demonstrates the knowledge and skills necessary to communicate with patients, providers, & payers.**PHYSICAL REQUIREMENTS:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. While performing the duties of this position, the employee is required to sit for long periods of time.2. Dexterity required to finger, handle, and reach.**SKILLS AND ABILITIES:**1. Must possess a high level of interpersonal skills and poise.2. Excellent verbal, written and decision making skills.3. Knowledge of drugs, drugs dosing, indications, and proper administration preferred.4. Must be polite and respectful when communicating with staff, physicians, patients and families. Must approach interpersonal relations in a positive manner.**Additional Job Description:****Scheduled Weekly Hours:**40**Shift:****Exempt/Non-Exempt:**United States of America (Exempt)**Company:**SYSTEM West Virginia University Health System**Cost Center:**249 SYSTEM Pharmacy Business Operations**Address:**781 Chestnut Ridge RoadMorgantownWest Virginia**Equal Opportunity Employer**West Virginia University Health System and its subsidiaries (collectively \"WVUHS\") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.