Specialty Pharmacy Technician: PA & Patient Aid

Riverside Hospital; Newport News (VA); On-site; USD 33,000 - 43,000; Full time

Job summary

Riverside Health System in Newport News, VA is seeking a Specialty Medication Coordinator to support third-party billing and patient financial assistance for high-dollar therapies (e.g., oncology, infectious disease, multiple sclerosis). The role includes benefits investigation, prior authorizations, copay/foundation assistance, drug replacement services, and patient financial counseling.

You will process referrals, collaborate with departments to obtain authorizations and patient assistance,

Qualifications

• Pharmacy technician training or equivalent preferred.
• LPN license required.
• CMA certification required.
• 3-4 years experience as Pharmacy Technician/LPN/CMA (in lieu of education) required.
• 1 year experience with obtaining/managing medication prior authorizations preferred.
• 1 year experience with patient assistance program applications preferred.

Responsibilities

• Process referrals and submit documentation to insurers/providers to expedite prior authorizations and patient assistance.
• Collaborate with departments to obtain prior authorizations and patient assistance medications or financial aid.
• Assist with medical necessity documentation to expedite approvals and ensure proper follow-up.
• Follow workflows and policies for prior authorizations and patient assistance.
• Accurately document intake referrals and authorization information in patient records or tracking systems in HIPAA-compliant manner.
• Proactively track patient refills/outreach to ensure timely service and enrollments that may expire.

Skills

Medical terminology

Prior authorization

Customer service

Communication skills

Pharmacy workflows

Education

Pharmacy Technician Training Program or equivalent

Licensed Practical Nurse (LPN)

Certified Medical Assistant (CMA)

Tools

Pharmacy computer systems

EHR navigation

Job description

Riverside Health System in Newport News, VA is seeking a Specialty Medication Coordinator to support third-party billing and patient financial assistance for high-dollar therapies (e.g., oncology, infectious disease, multiple sclerosis). The role includes benefits investigation, prior authorizations, copay/foundation assistance, drug replacement services, and patient financial counseling.

You will process referrals, collaborate with departments to obtain authorizations and patient assistance,