Medication Access Specialist

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 11%

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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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 and serve 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 • 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 and guidance for prior authorization submissions • Conduct patient outreach regarding medication coverage and financial assistance options, including pharmacy recommendations • Communicate coverage determinations and coordinate patient follow-up on behalf of client clinics • Document accurately and promptly 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 constructive feedback • 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 • Proficiency in 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 either PTCB or NHA (preferred) • Strong judgment and decision-making abilities • Ability to manage competing demands, prioritize tasks, and meet deadlines with urgency • Excellent interpersonal, team collaboration, verbal, and written communication skills • 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

🏖️ Benefits

• Competitive salary and benefits • Full-time salaried, non-exempt role • Fully remote, work from home