Specialty Pharmacy Financial Access Coordinator; Full Time; Days

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

 

Roles & Responsibilities:

Under direct supervision of the Director of Pharmacy and Clinical Coordinator, this Specialty Pharmacy Financial Access Coordinator I interacts with hospital employees on multiple levels, including pharmacists, medical/clinical staff, fiscal personnel, department managers, access services staff, coding staff and billing assistants. External contacts include third party payers, prescription benefit management companies, governmental peer review organizations, and referring physicians. This individual is primarily responsible for receiving prescriptions, addressing and rectifying rejected claims, conducting and completing necessary third party (insurance) prior authorization requests (when applicable), and verifies prescriptions to other non-institution entities in instances where the prescription is not filled by Mount Sinai’s Outpatient Pharmacy, including routing to MSHS entities. S/he is primarily responsible for providing assistance to a subset of patients by completing Patient Assistance Program (PAP) applications and co-pay assistance funds applications. Through PAP, pharmaceutical companies provide medications to patients with limited income and resources.

Duties and Responsibilities:
1. Receives prescriptions, with appropriate follow up on rejected claims.
2. Completes third party prior authorization requests and verifies prescriptions.
3. Provides a high level of customer service by the completion of applications, including those for the Patient Assistance Program (PAP) and co-pay assistance.
4. Addresses and rectifies denied claims.
5. Other duties as assigned.

 

 

 Requirements: 

HS/GED; Associates degree preferred

Experience:
1 year of retail pharmacy technician experience preferred
3 years of health care related billing and/or retail pharmacy experience preferred

 

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers
• We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong, and are able to professionally advance. We share the belief that all employees, regardless of job title or expertise, contribute to the patient experience and quality of patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our history!

 

Who We Are

 

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

 

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai Morningside ( Formerly St Luke’s), and New York Eye and Ear Infirmary of Mount Sinai.

 

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. 

 

EOE Minorities/Women/Disabled/Veterans

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Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excel