Pharmacy Medication Access Advocate, First Shift, Pharmacy Administration

Location: UC Health Business Center, Hybrid
Department: Medication Access Services, Pharmacy
Hours: 0800-1630
Shift: First

 

UC Health is hiring a Full-time, Medication Access Advocate in Pharmacy Administration at University of Cincinnati’s Medical Center. 

Verification of insurance coverage utilization different on-line modalities for clinic patients receiving medications and chemotherapy. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization. The associate will initiate or facilitate enrollment in philanthropic foundation or manufacturer-based assistance programs if patients do not have insurance coverage for medications and chemotherapy.

 

About University of Cincinnati Medical Center 

As part of the Clifton Campus of UC Health, Greater Cincinnati’s academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati

Unit Details: 

• Medical, Dental, and Vision Insurance  
• Employee Paid Short- and Long-Term Disability  
• 401K  
• Tuition Reimbursement Opportunities  
• Community Discounts  
• First shift Monday-Friday
• No nights, no weekends, no holidays
• Hybrid position 

Insurance Verification:
•   Initiates on-line verification and/or makes phone contact with Insurance Carriers and Plan Administrators to verify patient benefits to pre-certify that all outpatient services are secure. 
•   Follows up on missing data or problem accounts.

 

Leverage Patient Assistance Programs:
•   Ensures authorization or access through assistance programs has been obtained for all high dollar medications.

 

Documentation:
•   Documents complete and accurate data relating to all necessary eligibility, enrollment, benefits and precertification information in appropriate Epic database fields. 
•   Informs management of trends of incomplete data, registration issues, etc.

 

Worklists:
•   Effectively organizes prioritization of Daily Worklist task.

 

Secure Accounts:
•   Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.

 

Communication: 
•   Reports improvements, problems, and changes as it relates to insurance verification to department management

 

Other duties as assigned:
•   Performs other duties as assigned

• Education: Minimum Required: High School Diploma or GED
• Years of Experience: Minimum Required: 1 - 2 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment. Preferred: 3 - 5 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment. Pharmacy/medication experienced preferred but not required.
• Required Skills and Knowledge: Ability to perform work accurately with attention to detail within specified time periods; work cooperatively with health-system and pharmacy staff; handle frequent interruptions and adapt to changes in workload and work schedule; set priorities and solve problems; respond quickly to emergency requests; communicate effectively (orally and in writing), and assist in meeting the pharmaceutical care needs of the patient populations served by the organization. 

 

 

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!  

The expected starting salary range for this position is between $17.23/hr.- $21.78/hr.

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