Specialty Pharmacy Access Coordinator

JobRx, Inc.; Chesapeake (VA); On-site; USD 32,924 - 42,843; Full time

Job summary

Riverside Health System in Chesapeake, VA, is seeking a Specialty Medication Coordinator to manage third-party billing and patient financial assistance for high-dollar medications. You will assist with prior authorizations, patient onboarding, and tracking of payments and approvals.

Responsibilities include processing referrals, documenting information in systems, and ensuring HIPAA-compliant handling of patient data while collaborating with several departments to secure patient medication

Qualifications

• Experience in pharmacy or healthcare terminology and workflows.
• Able to manage medical necessity documentation and prior authorizations.
• Familiar with patient assistance programs and HIPAA practices.
• Strong numerical accuracy for pharmaceutical calculations.
• Proficient with pharmacy computer systems and EHR.
• Ability to navigate patient records and insurance portals.

Responsibilities

• Process referrals and submit documentation to carriers to expedite prior authorizations.
• Collaborate with departments to obtain patient assistance meds and financial aid.
• Maintain accurate intake and tracking in patient records and systems.
• Track patient refills and outreach to ensure timely services.
• Support enrollments for prior authorizations and patient assistance programs.
• Protect patient data per HIPAA and assist with audits and training.

Skills

Pharmacy terminology

Pharmacy knowledge

Medical math

Pharmacy workflow

Pharmacy systems

EHR literacy

Communication skills

Multitasking

Customer service

Patient assistance programs

Prior authorization

Organizational skills

Education

Pharmacy Technician Training Program (Preferred)

Licensed Practical Nurse (LPN) (Required)

Certified Medical Assistant (CMA) (Required)

Job description

Riverside Health System in Chesapeake, VA, is seeking a Specialty Medication Coordinator to manage third-party billing and patient financial assistance for high-dollar medications. You will assist with prior authorizations, patient onboarding, and tracking of payments and approvals.

Responsibilities include processing referrals, documenting information in systems, and ensuring HIPAA-compliant handling of patient data while collaborating with several departments to secure patient medication