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Location: US:WI:MENOMONEE FALLS at our INTEGRATED SERVICE CENTER facility.
This job is HYBRID.
FTE: 1.000000
Shift: 1
Schedule: Monday-Friday working first shift, no weekends or holidays
Job Summary:
The Medication Access Coordinator is responsible for coordinating the efforts around prior authorizations for medications billed through patients' pharmacy & medical benefits, patient assistance workflows, ensuring accurate billing and reimbursement for pharmacy services, and around the prescription refill workflows and protocol maintenance. The position will operate as a liaison between the Medication Access team, clinic leadership, clinical staff, providers, insurance providers and other involved parties to provide safe and efficient care to all patients impacted by the medication access team. Remote access may be required for timely work completion due to the time sensitivity around these services. Responsible for oversight of obtaining medication insurance coverage or assistance and benefit information, authorizations of medications, monitors patient's insurance status, assists in facilitating medication refill requests, and communicates insurance issues to the treatment team. Coordinates the day to day functions on the Medication access team to ensure timeliness of all services and ensure proper follow up is done by team members. Responsible for providing updates around medication access services to physicians, clinical staff, and pharmacy office, through multiple methods as appropriate (includes in services, email communication, one on one meetings). Coordinate the research, design, and implementation of practices and processes for medication access services. Other duties as assigned.
EXPERIENCE REQUIRED:
A minimum of 2 years experience as a Medication Access Specialist 2 (or similar experience). Cross trained and demonstrated ability to support prior authorization services in a minimum of 3 different disease states and/or demonstrated ability to support multiple clinics from a medication refill perspective and/or demonstrated ability to support all areas in regards to foundation and manufacture assistance. Cross trained and demonstrated competence in multiple medication access team responsibilities (such as prior authorizations, foundation and manufacture assistance, and medication refill support). Experience with 3rd party insurance.
EDUCATION DESCRIPTION:
High school diploma or equivalent is required. 4 year degree preferred. Graduate of ASHP accredited pharmacy tech training program preferred.
SPECIAL SKILLS DESCRIPTION:
Proven attention to detail. Exceptional customer service skills. Proven ability to communicate effectively with a diverse group. Outstanding organizational skills. Promotion skills ability to sell a program. Experience with various computer systems, programs, and insurance companies (such as EMR, retail pharmacy POS, web portals). Ability to independently facilitate new projects and work with a multidisciplinary group to achieve success. Aptitude for accomplishing goals with minimal supervision and working independently with efficiency and self-motivation. Critical thinking skills to improve upon current processes and suggest solutions to problems with the services.
LICENSURE DESCRIPTION:
Application for Wisconsin registration as a Pharmacy Technician is required by hire date and must be obtained within 12 months of hire. Staff hired into this role prior to 3/31/23 must have applied for Wisconsin registration by 3/31/23 and have until 3/31/24 to obtain registration. Certification as a Pharmacy Technician (CPhT) through passing the Pharmacy Technician Certification Boards exam (PTCE) or the National Healthcareer Associations exam (ExCPT) is required within 6 months of hire.
Perks & Benefits At Froedtert Health
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
- Paid time off
- Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
- Academic Partnership with the Medical College of Wisconsin
- Referral bonuses
- Retirement plan - 403b
- Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
- Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.