Medication Access Specialist

ThedaCare

Appleton, Wisconsin, US
Resolve prior authorizations
Obtain financial prescription assistance
Verify insurance coverage
The Medication Access Specialist is a dedicated member of the Pharmacy Department team who is responsible for assuring the financial viability of patients as they flow through the continuum of care

Job Summary

  • The Medication Access Specialist is a dedicated member of the Pharmacy Department team who is responsible for assuring the financial viability of patients as they flow through the continuum of care.
  • Responsible for 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.
  • Benefits , with a whole-person approach to wellness – Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare

Matching Summary

The Medication Access Specialist is a dedicated member of the Pharmacy Department team who is responsible for assuring the financial viability of patients as they flow through the continuum of care.

Skills & Requirements

Must-have

  • resolve prior authorizations
  • obtain financial prescription assistance
  • verify insurance coverage
  • communicate insurance issues
  • customer service

Nice-to-have

  • proactive partner in health
  • work/life balance
  • whole-person approach to wellness

Key Requirements

  • 3 years of experience in pharmacy, healthcare, managed care, or health insurance
  • Knowledge of health insurance and pharmacy insurance benefit verification
  • High school diploma or equivalent
  • Certification through Pharmacy Technician Certification Board or National Healthcare Association (ExCPT) Required within the first 6 months of hire

Work Rights

Not specified

Tailored Resume

Cover Letter