Medication Access Specialist

Emploi pas sur LinkedIn

🕒 il y a 14 jours

❄️ Minnesota – Distant

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⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 10%

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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 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

🎯 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 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

🏖️ Avantages

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

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