Medication Access Coordinator - Specialty PharmacyTriHealth • Cincinnati, Ohio, United States
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Medication Access Coordinator - Specialty Pharmacy
TriHealth
- Cincinnati, Ohio, United States
- Cincinnati, Ohio, United States
Über
Why Join TriHealth as a Medication Access Coordinator
At TriHealth Specialty Pharmacy , Medication Access Coordinators play a critical role in ensuring patients receive timely, affordable access to specialty medications. In this position, you'll go beyond traditional pharmacy tasks to become an advocate for patients-navigating insurance benefits, prior authorizations, appeals, and financial assistance programs that directly impact patients' ability to start and stay on therapy.
Working closely with clinical pharmacists, providers, and the dispensing team, you'll be part of a collaborative, mission-driven environment where attention to detail, empathy, and follow-through truly matter. TriHealth values integrity, confidentiality, and professionalism, and provides a supportive setting where experienced pharmacy technicians can use their skills to improve the patient experience while contributing to the success and growth of specialty pharmacy services.
If you enjoy problem-solving, working with insurance and benefits, and making a meaningful difference for patients with complex medication needs, this role offers long-term stability, professional respect, and the opportunity to grow your impact within a trusted health system.
Location: Norwood, OH
Work Hours:
- Full time, 80 hours biweekly
- Day Shift
- Monday - Friday
Incentives & Benefits:
We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement. For more information, please visit our benefits page:
Job Requirements:
- Graduate of an approved technical, professional or vocational program or Bachelor's Degree, Associates Degree.
- Equivalent experience accepted in lieu of degree (minimum of 3.5 years of pharmacy technician experience required)
- 2-3 years' experience Retail Pharmacy or Specialty Pharmacy or work experience in insurance verification, benefits, and eligibility investigations.
- Current national Pharmacy Technician Certification (CPhT) is required. The current approved examinations are the Pharmacy Technician Certification Board (PTCB) or ExCPT Certification by the National Health career Association.
- Active registration with the Ohio Board of Pharmacy as a Certified Pharmacy Technician.
- Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator.
- Discretion and confidentiality essential as position deals with highly sensitive and private data.
Job Overview:
Under the direction of the Specialty Pharmacy Clinical Manager and in collaboration with the Clinical Pharmacists and Dispensing Team, the Specialty Pharmacy Medication Access Coordinator (MAC) will coordinate medication access and financial assistance for TriHealth specialty pharmacy patients. This includes performing pharmacy insurance benefit investigations; completing specialty pharmacy prior authorizations (PAs); coordinating specialty prescription drug appeals; coordinating specialty medication financial assistance enrollment (copay cards, patient assistance programs, etc.) for eligible patients; assisting in the miscellaneous coordination and follow up with providers and clinical pharmacists and dispensing team to ensure timely access to specialty medication therapy. The MAC improves the patient experience and maximizes pharmacy revenue.
Job Responsibilities:
- Develops and maintains strong relationships with physicians, prescribers, nurses, and patients to build the service. Provides caring service, adjusting approaches to reflect cultural differences of population served. Professionally and compassionately manages and resolves difficult situations involving patients. Responds politely and professionally to pharmacist/nursing/physician/patient or other requests via telephone, in writing, or in person. Appropriately manages, triages, and ensures timely follow-up of all requests. Clearly articulates ideas and thoughts through written and verbal communications.
- Benefit Investigation & Prior Authorization (PA):Pulls new prescriptions from the queue. Verifies that the pharmacy has patient's current pharmacy insurance coverage information. Tracks down missing information. Completes required PA paperwork. Manage incoming calls, faxes and ePAs related to pharmacy prior authorizations. Ensures that the PA is approved and re-adjudicates prescription revealing patient's financial responsibility. Documents PA renewal terms and schedule applicable reminders. Calls patient to inform them what they are responsible for paying. Patient Assistance Program (PAP): Refers to the specialty list of manufacturer-sponsored assistance programs and suggest options for patient as applicable. Enrolls patient in Health System or Specialty
Sprachkenntnisse
- English
Hinweis für Nutzer
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