Medication Access Coordinator I

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Accountable to obtain prior authorization for medications. Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, departments, and patients. Act as subject matter expert for patient medication assistance foundations, free drug and drug replacement programs for uninsured, under-insured, indigent population. Maintains updated knowledge of pharmacy reimbursement methodologies. Job Duties: · Completes prior authorization and documents referrals for all medications reviewed using appropriate third-party payer criteria. · Conducts research and follow-up activities within established timeframes. Maintains knowledge of criteria changes of third-party payor authorization requirements. · Communicates with care team to provide details on authorization status. · Maintains knowledge of all available patient assistance programs and eligibility requirements. · Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment. · Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s). ·Tracks fund award end dates and exhaustion, re-apply as necessary to avoid lapse in therapies. ·Communicates