Transforming healthcare through high-performance pharmacy
Medication Access Specialist – Home Infusion
Location
Minnesota
Posted
12 hours ago
Salary
0
Seniority
Senior
Job Description
Medication Access Specialist – Home Infusion
Visante
• 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
Job 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
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