Specialty Pharmacy Coordinator: High-Value Meds & Patient Access

Riverside Health; United States; On-site; USD 33,000 - 43,000; Full time

Job summary

Riverside Health System is seeking a Specialist Medication Coordinator in Newport News, VA to manage high-dollar specialty medications and patient financial assistance programs. You will handle benefits investigations, prior authorizations, copay support, and patient counseling within a HIPAA-compliant workflow.

You will collaborate across departments to obtain approvals, document medical necessity, and ensure timely prescriptions and infusion services.

Qualifications

• Education program graduate or equivalent in pharmacy tech, LPN or CMA (preferred).
• 3–4 years experience as a Pharmacy Technician, LPN or CMA (required).
• 1 year experience obtaining and managing medication prior authorization (preferred).
• 1 year experience obtaining and managing patient assistance program applications (preferred).

Responsibilities

• Timely processing of referrals and submission of documentation to insurance carriers, manufacturers or foundations to expedite prior authorization and/or patient assistance.
• Collaborate with other departments to obtain prior authorizations and patient assistance medications or financial assistance.
• Assist with medical necessity documentation to expedite approvals and ensure proper follow-up.
• Follows prior authorization and/or patient assistance workflows and policies.
• Maintain accurate intake documentation in the electronic health record or tracking systems in compliance with HIPAA.
• Proactively tracks and manages patient refills and outreach to ensure timely service.
• Assist management with inspections, audits, reports and training to uphold standards.

Skills

Pharmacy terminology

Medication knowledge

Pharmacy calculations

Pharmacy workflows

EHR navigation

Communication skills

Prior authorization

Patient assistance programs

Customer service

Organizational skills

Attention to detail

Education

Pharmacy Technician Training Program or equivalent

Licensed Practical Nurse (LPN)

Certified Medical Assistant (CMA)

Advanced certification in specialty pharmacy

Job description

Riverside Health System is seeking a Specialist Medication Coordinator in Newport News, VA to manage high-dollar specialty medications and patient financial assistance programs. You will handle benefits investigations, prior authorizations, copay support, and patient counseling within a HIPAA-compliant workflow.

You will collaborate across departments to obtain approvals, document medical necessity, and ensure timely prescriptions and infusion services.