Details
Posted: 07-Sep-23
Location: Akron, Ohio
Salary: Open
About Akron Children's Hospital
Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.
OUR PROMISES
- To treat every child as we would our own
- To treat others as they would like to be treated
- To turn no child away for any reason
We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.
Full Time (40 hours per week) M-F Days
Summary:
The Specialty Pharmacy Medication Access Coordinator position resides within the Pharmacy Department and supports the pharmacy by providing medication access assistance to providers, clinical staff, and pharmacists. The position is primarily responsible for completing necessary third-party prior authorization requests, improving patient outcomes, and maximizing efficiency for patients and clinic staff. Other areas of responsibility include call center support for the specialty pharmacy and navigating financial assistance for patients.
Responsibilities:
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- Provide medication access and affordability services by completing the following:
- Conduct prospective benefits investigation services to expedite clinic workflow and enhance patient care
- Review prior authorization requests received from clinic staff
- Review documentation in the patient's medical record that is required for prior authorization submission
- P benefits investigation review upon third party payor determination to assess patients coverage and out of pocket costs
- Identify financial options that could be utilized to reduce patient financial burden including but not limited to copay cards, grants, foundations or manufacturer patient assistance programs.
- Communicate with clinic staff for any clinical information or guidance related to prior authorization submission and determination
- Assist the clinic in submitting appeals and independent reviews related to coverage denials
- Demonstrate proficiency and skill with pharmacy and health system information systems
- Ensure timely and accurate documentation related to services provided to providers, clinic staff and patients/families
- Manage and process incoming and outgoing calls in call center including:
- Processing medication orders
- Refill reminders
- Providing order updates
- Providing prior authorization updates and details
- Collaborating with other staff for patient needs
- Effectively communicate with other pharmacy team members, physicians, nurses and patients/families
- Resolve routine medication-related issues and ensure medication transactions are processed accurately and appropriately
- Complete other duties as assigned by supervisor or pharmacist regarding medication access and other patient care needs
Technical Expertise
- Prior experience as an outpatient pharmacy technician is preferred.
Education and Experience
- High School diploma or equivalent combination of education (GED)
- Certification: Registration as a "Registered Ohio Pharmacy Technician" or "Pharmacy Technician Trainee" required. National Pharmacy Technician Certification (PTCB or equivalent required).
- Years of relevant experience: 3 to 5 years is preferred
- Years of experience supervising: none
Full Time
FTE: 1.000000
Status: Onsite
Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.
EEO is the law, please click/copy paste the link below to learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/eeoc_self_print_poster.pdf