Medication Access Specialist-Anticoagulation Clinic

Summary:
Responsible for providing access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs, Medication Assistance Programs, benefits investigation, processing refill renewal requests, assisting patients with health insurance enrollment, managing PAR and prescriptions renewal dates. The anticoagulation medication access specialist (MAS) will support a team of anticoagulation clinical pharmacists as part of a high-paced anticoagulation practice. The anticoagulation MAS will work directly with pharmacists, patients, and clinic staff through a variety of tasks. Daily activities of the anticoagulation MAS include, but are not limited to, triaging incoming phone calls, reviewing incoming electronic fax requests and lab results and messages through the electronic medical record, facilitating home INR orders and results, medication refills, reviewing/renewing referrals to the anticoagulation clinic and patient lab reminders.

Work Schedule: Full Time Days

Responsibilities:
Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.

Compiles clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, ASO criteria, doctor visits). Compiles clinical information for pharmacist and nurses to utilize as refill renewal requests are processed via protocol.

Directly enrolls eligible patients into manufacturer patient assistance and co-pay programs. Provides information to patients on health care insurance coverage opportunities available through the Health Care Exchanges.

Accurately obtains and records patients' home medication lists, allergies, immunizations and medical diagnoses.

Withinscope of job, requires critical thinking skills, decisive judgement and theability to work with minimal supervision. Must be able to work in afast-paced environment and take appropriate action.