Medication Access Specialist – Home Infusion

Emploi pas sur LinkedIn

🕒 il y a 12 jours

❄️ Minnesota – Distant

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⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 11%

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🗣️🇺🇸🇬🇧 Anglais requis

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Visante

51 - 200 employés

Fondée en 2008

💰 €916 800 Venture Round en 2021-07

Visante est une société de solutions de santé spécialisée dans l'amélioration des performances financières et des résultats pour les patients au sein des systèmes de santé. Fondée en 1999, Visante propose son expertise en matière de pharmacie spécialisée, de pharmacie de perfusion et de divers services de gestion pharmaceutique, assurant le succès des prestataires de soins de santé grâce à des solutions intégrées. Ses offres incluent la gestion du cycle des revenus, les services d'accès aux médicaments et l'optimisation de la chaîne d'approvisionnement, visant à fournir des stratégies personnalisées qui améliorent l'efficacité opérationnelle et la durabilité financière dans le secteur de la santé.

Description

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

🎯 Exigences

• 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, including medication authorizations and preadmission/precertification processes preferred • Expertise in retail pharmacy PBM adjudication, ensuring accurate claim processing and reimbursement • Proficient in utilizing CoverMyMeds® for prior authorization submissions preferred • State Board of Pharmacy Technician registration obtained within 2 months of start date, if applicable based on state requirements • Active CPhT certification through either PTCB or NHA preferred • Strong judgment and decision-making skills • Ability to manage competing demands, prioritize tasks, and meet deadlines with urgency • Excellent 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 ensure accuracy • Proficiency in Office Suite (Word, Excel, PowerPoint)

🏖️ Avantages

• Competitive salary and benefits for this full-time salaried role

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