Medication Access Specialist – Ophthalmology Appointment Tech Hub

Job not on LinkedIn

🔥 2 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• Review medication access requests from Epic In Basket, electronic prior-authorization tools, patient calls, MyChart, refill/RxChange messages, fax, clinics, staff assistants, email, and real-time messaging • Validate medication, prescriber, indication, pharmacy, benefit, urgency, and requested action • Differentiate prior authorization, formulary, step-therapy, quantity, tier, refill, claim-processing, specialty-pharmacy, documentation, and affordability barriers • Research plan-specific criteria and preferred submission routes • Prepare and submit requests, interpret determinations, respond to deficiencies, coordinate reconsiderations and appeals, track deadlines, and escalate clinical documentation needs • Review diagnoses, notes, medication history, prior trials, contraindications, allergies, treatment response, and discrepancies • Obtain prescriber clarification without independently making treatment decisions • Communicate status and next steps; clarify claim details, brand/NDC, quantity, day supply, refill timing, and specialty routing • Verify whether approval results in a payable and affordable prescription • Screen for manufacturer copay programs, patient assistance programs, direct-to-consumer options, Medicare Extra Help, specialty pathways, and cash alternatives • Maintain complete Epic documentation, process determination letters, update case status, close the loop with responsible parties, and support workload/outcome reporting

🎯 Requirements

• Completion of Ophthalmic Technician training • Certification as a certified Ophthalmic Technician by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) • BLS Certification • Knowledge of ophthalmic terminology, eye diseases, ocular emergencies, ophthalmic medications, and treatment protocols • Ability to assess patient symptoms, recognize urgent and emergent ophthalmic conditions, and prioritize care using established clinical guidelines • Strong critical thinking and clinical decision-making skills • Excellent verbal and written communication skills • Ability to work effectively in a remote, team-based environment • Proficiency documenting patient encounters, triage assessments, recommendations, and communications in an electronic medical record • Ability to manage multiple priorities simultaneously • Ability to work independently, exercise sound judgment, and utilize available resources • Knowledge of patient privacy, confidentiality, HIPAA, and regulatory requirements • Strong organizational and time-management skills • Ability to provide patient education and reinforce provider instructions • Ability to participate in continuous process improvement and adapt to evolving workflows • Able to withstand long sitting

🏖️ Benefits

• $5000 Commitment Bonus for qualifying candidates • Day shifts, Monday-Friday, with no weekends or holidays • Remote position