MEDICATION ACCESS SPECIALIST I *$3,000 sign on bonus!*, FHP - PHARMACY-REFILL

Froedtert MENOMONEE FALLS, WI

About the Job

Come join our award winning team!  See What Is Possible....

 

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 at Froedtert Hospital Milwaukee an internationally recognized training and research center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network which includes five hospitals more than 1700 physicians and nearly 40 health centers and clinics draws patients from throughout the Midwest and the nation.

 

Froedtert Health has been widely recognized for our dedication to our staff providing a work environment full of encouragement innovation collaboration and respect.

 

Our best-in-class wellness program has earned us recognition in the Milwaukee Business Journal as a Healthiest Employer and a Gold Well Workplace award from the Wellness Council of America.

 

We invite you to review the job posting below.  If you meet the requirements and qualifications for this opportunity you are encouraged to apply.

 

Thank you for considering a career with Froedtert Health!

   

Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. 

 

FTE: 1.000000

 

*1.0 FTE is Full-Time any position less than 1.0 FTE is Part-Time and .001 FTE is Optional Part-Time*

 

*Positions with an "FTE" (full time equivalency) of  .8 - 1.0  are eligible for full-time medical dental and vision benefits.  Positions with an "FTE" of  .5 - .799  are eligible for part-time pro-rated medical dental and vision benefits*

 

Shift: 1  

 M-F; 0800-4:30p; no weekends/holidays

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. Acts as the liaison between patient physician office pharmacy insurance providers and other third parties to initiate and resolve appeals as needed Acts as a liaison between patients foundations manufactures or necessary parties to obtain financial prescription assistance for patients in need 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. Reviews electronic medical record for patients to collect any pertinent information needed to submit appeal and resolve prior authorizations and medication refills requests (such as diagnoses past medical history past prescription history and other information) Assists in obtaining updated prescription authorization for existing patients Assists the physician's office in obtaining and completing any and all documentation necessary to complete prior authorization and medication refill requests Updates the patient physician's office any necessary parties through multiple methods as appropriate (include telephone in-basket messaging and electronic medical record) regarding responses and outcomes of prior authorizations and medication refills Requires appropriate follow up with physician's office and any necessary parties in regards to status of prior authorizations and medication refill requests Read interpret and effectively communicate information from insurance documents electronic medical records patient charts Effectively participate in both written and verbal communication through multiple means (such as electronic health record in basket messages phone calls emails etc.) Problem solve as needed within a timely manner Effective time management of tasks and responsibilities. The ability to discern when it is appropriate to hand off a tasks Detail oriented with ability to effectively and efficiently multi-task Ability to work in a team environment Other duties as assigned

 

Responsibilities:
3 years of experience in pharmacy healthcare managed care or other health insurance environment is required Knowledge of health insurance and pharmacy insurance benefit verification health insurance terminology billing managed care contracting hospital reimbursement and hospital admitting and registrations practices required. High school diploma or equivalent is required. 4 year degree preferred. Graduate of ASHP accredited pharmacy tech training program preferred. Certification through Pharmacy Technician Certification Board or National Healthcare Association (ExCPT) Required within the first 6 months of hire.

  

Other information:
Proven attention to detail Experience with third party insurance and medication/co-pay assistance programs Effective interpersonal skills including the ability to develop collaborative alliances promote teamwork and ensure a high degree of internal and external customer satisfaction Outstanding organizational and follow-up skills Experience with various computer systems and programs (such as EPIC insurance portals McKesson Enterprise etc.) Quick learner Ability to work independently and take programmatic initiative Ability to function in a fast paced and changing environment and balance multiple priorities Experience with navigating an Electronic Health Record 

 

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts recruits engages and retains a diverse workforce.  As a federal contractor/subcontractor we take affirmative action in employment based on race sex disability and status as a protected veteran.   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