Remote Medication Access Specialist—Reimbursement & Access

Visante Consulting LLC; Saint Paul (MN); On-site; USD 65,000 - 85,000; Full time

Job summary

Visante Consulting LLC is seeking a Remote Medication Access Specialist to support patients, pharmacists and providers by streamlining intake, navigating insurance, and improving access to high-cost medications.

You'll conduct benefits investigations, assist with prior authorizations, identify patient assistance programs, and coordinate with clinics to resolve denials, while maintaining accurate documentation in EMR systems.

Qualifications

• Requires at least three years of pharmacy experience in healthcare or with medication access.
• Experience with medication reimbursement, prior authorization, and coding is preferred.
• Proficient in Microsoft Word, Excel, and PowerPoint.

Responsibilities

• Lead the medication intake process, serving as a liaison among clinics, pharmacists, and patients.
• Conduct benefits investigations to determine coverage and out-of-pocket costs.
• Identify and recommend patient assistance programs and copay cards.
• Gather and review documentation for prior authorization submissions and appeals.
• Coordinate next steps for denials with clinic staff for review.
• Communicate coverage determinations to clinics and patients; document actions in EMR.

Skills

Judgment & prioritization

Client relationships

Medication reimbursement

Prior authorization

Healthcare coding

Office suite

Education

High school diploma or equivalent

State Board of Pharmacy Technician registration

Tools

CoverMyMeds

Job description

Visante Consulting LLC is seeking a Remote Medication Access Specialist to support patients, pharmacists and providers by streamlining intake, navigating insurance, and improving access to high-cost medications.

You'll conduct benefits investigations, assist with prior authorizations, identify patient assistance programs, and coordinate with clinics to resolve denials, while maintaining accurate documentation in EMR systems.