Work in Iowa Jobs

Employment Type:

Full time

Shift:

Description:

Employment Type:

Full Time

Position Purpose:

The Medication Access Coordinator is responsible for assisting patients through navigating the complexity of medication access at the most affordable expense as possible. They are the liaison between the provider staff, patient, pharmacy, billing, insurance provider, patient communities, social services and other involved parties to drive excellent customer service on behalf of the pharmacy. Problem-solve fulfillment service and insurance concerns and partner with all involved parties to ensure the patient receives the best possible care experience.

What you will do:

1. Establishes and maintains effective relationships with referral sources, and exemplifies excellent customer service during interactions with patients, employees, providers.

2. Interface and problem solving, if needed, with the referring provider and/or clinic staff; monitors satisfaction of patients, referring providers and clinical sites regarding referral process and patient care management.

3. Act as an insurance specialist by expediting the prescription filling process (entering patient demographics, allergies, insurance information); obtain benefit information, verify patient insurance eligibility and level of coverage; understand Medicare/Medicaid regulations and billing guidelines as they pertain to pharmacy patient benefits; understand billing primary, secondary and tertiary insurance claims, and understanding the 340B program and the impact of prescriptions from specialty clinics.

4. Initiate and assist with the Prior Authorization and Patient Prescription Financial Assistance processes within the assigned therapy classes; resolve billing issues and obtain Prior Authorizations for medications

when needed.

5. Work with Patient Financial Advocates regarding ongoing coverage levels/issues; provide education and training as necessary or instructed.

6. Interpret and disseminate information, including key information about changes in the marketplace and physician patterns; develop a plan/timetable to monitor program performance with stakeholders on a regular basis.

7. Maintain patient education materials, collect data, run statistics and monitor productivity.

8. Create and utilize tools to monitor and report outcomes of initiatives; provide information to Pharmacy managers and Market Director of Pharmacy, as appropriate for review, evaluation and prioritization of opportunities.

9. Additional retail pharmacy responsibilities as needed: retrieval of

prescriptions from patients; data and prescription entry; prescription filling, general phone/customer service involving refills and resolving

insurance issues; working the cash register.

10. Other duties as assigned by the market director of pharmacy.

Minimum Qualifications:

1.High school Diploma or GED required

2. Relationship building, ability to work effectively with staff, payers

and patients.

3. Customer service, communication skills, computer skills and

Microsoft Office suite, problem solving skills.

4. 3-5 years of pharmacy technician related experience (retail,

hospital, insurance, etc)

5. Registered or eligible to register as a Pharmacy Technician with

the State Board of Pharmacy Examiners within 5 days of hire.

6. Pharmacy Technician Certification Program.

Position Highlights and Benefits:

We care about your well-being, both physical and mental, which is why our benefit package includes:

· Wellness programs

· Education reimbursement

· Personalized health insurance plans including dental and vision

· Paid time off

· Long- and short-term leave

· Retirement planning

· Life insurance coverage

MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers.

With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran