Medication Access Specialist

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🕒 2 dias atrás

❄️ Minnesota – Remoto

❄️ Minnesota – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Visante

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2008

💰 $916.800 Venture Round em 2021-07

A Visante é uma empresa de soluções em saúde que se especializa em melhorar o desempenho financeiro e os resultados dos pacientes dentro dos sistemas de saúde. Estabelecida em 1999, a Visante oferece expertise em farmácia especializada, farmácia de infusão e vários serviços de gestão de farmácias, garantindo o sucesso dos provedores de saúde por meio de soluções integradas. Suas ofertas incluem gestão do ciclo de receita, serviços de acesso a medicamentos e otimização da cadeia de suprimentos, com o objetivo de entregar estratégias personalizadas que melhorem a eficiência operacional e a sustentabilidade financeira no setor de saúde.

Descrição

• Lead the medication intake process as a liaison among clinic providers, clinic staff, pharmacies, and patients • Conduct benefits investigations to determine coverage, out-of-pocket costs, and financial assistance • Identify and recommend patient assistance programs, copay cards, grants, or funds • Gather and review documentation for prior authorization submissions and escalate coverage-denial appeals • Coordinate next steps for insurance denials with clinic staff • Communicate with clinics to obtain information for prior authorization submissions • Conduct patient outreach about medication coverage and financial assistance options • Communicate coverage determinations and coordinate patient follow-up • Document accurately in client EMR systems and Visante tracking tools • Assist with onboarding and training client-employed medication access specialists • Contribute to process improvements and provide operational feedback • Collaborate with Visante team members and leadership • Complete other duties as assigned

🎯 Requisitos

• High school diploma or equivalent • Minimum of three years of pharmacy experience in healthcare or with pharmacy providers focused on medication access • Two years of healthcare revenue cycle experience preferred, including medication authorizations and preadmission/precertification processes • Expertise in retail pharmacy PBM adjudication • Proficiency with CoverMyMeds® for prior authorization submissions • State Board of Pharmacy Technician registration obtained within 2 months of start date, if applicable based on state requirements • Active CPhT certification through PTCB or NHA preferred • Strong judgment and decision-making skills • Ability to manage competing demands, prioritize tasks, and meet deadlines • Strong client relationship, interpersonal, and team collaboration skills • Professional and concise verbal and written communication • Expertise in medication reimbursement, prior authorization, and healthcare coding • Analytical and creative problem-solving abilities • Ability to maintain confidentiality and accuracy • Proficiency in Office Suite, including Word, Excel, and PowerPoint

🏖️ Benefícios

• Competitive salary • Benefits • Full-time salaried role • Work from home