Medication Access Specialist – Home Infusion

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❄️ Minnesota – Remote

❄️ Minnesota – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Visante

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2008

💰 $916.8k Venture Round on 2021-07

Visante is a specialized consulting firm focused on helping health systems accelerate strong financial and operational performance through pharmacy. Our team of professionals brings deep, contemporary expertise and innovation to optimizing all aspects of a fully integrated health system pharmacy program, driving significant value quickly. By providing customized solutions to fit the needs of our clients, we deliver sustained financial results through revenue growth, cost savings, assured compliance and optimal business performance.

📋 Description

• Lead the medication intake process, serving as a liaison 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 to reduce financial burdens • Gather and review necessary documentation for prior authorization submissions, escalating appeals for coverage denials • Coordinate next steps for insurance denials to clinic staff for review and decision-making regarding appeals process • Communicate directly with clinics to obtain additional information and guidance related to prior authorization submission • Conduct patient outreach to discuss medication coverage and financial assistance options, providing pharmacy recommendations • Communicate coverage determinations and coordinate follow up with patients on behalf of the client clinic • Ensure timely and accurate documentation in client EMR systems and Visante tracking tools for workflow efficiency • Assist with onboarding and training of client-employed medication access specialists and contribute to process improvements • Collaborate with Visante team members and leadership to provide insight and constructive feedback into day-to-day operations • Complete other duties as assigned

🎯 Requirements

• 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 preferred • Proficient in utilizing CoverMyMeds® for prior authorization submissions, streamlining medication access • 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

🏖️ Benefits

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