Pharmacy Support Liaison: Patient Access & Insurance Help

University Hospitals; Warrensville Heights (OH); Hybrid; USD 52,000 - 70,000; Full time

Benefits offered by this job

Sign on bonus

Job summary

University Hospitals is seeking a Pharmacy Support Liaison to optimize intake and reimbursement for high-cost medications and home care services. The role involves verifying benefits, obtaining necessary prior authorizations, and coordinating with clinical teams to secure documentation for service initiation.

The position emphasizes improving patient access, minimizing therapy interruptions due to insurance issues, and supporting revenue cycle improvements within UH Meds.

Qualifications

• Knowledge of Medicare/Medicaid regulations and commercial insurer criteria for payment of home care services.
• Experience with patient assistance programs and third-party payer billing.
• Strong familiarity with PHI handling and HIPAA compliance.

Responsibilities

• Handle intake and verify insurance benefits for Home Care Pharmacy services.
• Perform prior authorizations and obtain initial authorizations for visits from insurers.
• Coordinate with pharmacists, RN coordinators, and clinic staff to ensure documentation before acceptance.
• Enter data into pharmacy systems and support revenue cycle initiatives.
• Respond to patient inquiries and assist with enrollment in patient assistance programs.

Skills

Medicare/Medicaid

Insurance verification

Prior authorizations

PHI compliance

Education

High School Equivalent / GED

Bachelor's Degree in health care related or business field

Job description

University Hospitals is seeking a Pharmacy Support Liaison to optimize intake and reimbursement for high-cost medications and home care services. The role involves verifying benefits, obtaining necessary prior authorizations, and coordinating with clinical teams to secure documentation for service initiation.

The position emphasizes improving patient access, minimizing therapy interruptions due to insurance issues, and supporting revenue cycle improvements within UH Meds.