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Medication Access Coordinator-Medical Group

NorthShore University HealthSystem
paid time off, tuition reimbursement
United States, Illinois, Arlington Heights
2101 South Arlington Heights Road (Show on map)
Feb 22, 2025

Medication Access Coordinator, GI

Position Highlights:

  • Position: Medication Access Coordinator, GI
  • Hourly Pay Range: $19.89 - $28.84. The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
  • Location: 2101 S Arlington Heights Rd. Arlington Heights, IL.
  • Full Time: 40 hours/week
  • Hours: Hours vary - Monday - Friday (8:30a-5p).

General Summary:

Reporting to the Specialty Management team, the Ambulatory Specialty Medication Access Coordinator works with Specialty nurses, physicians, patients, their representatives, insurance carriers and employers to determine benefits eligibility, benefits verification, and prior authorization requirements for high-cost medications used in the Medical Group Specialty as well as in home or infusion clinic. The Ambulatory Specialty Medication Access Coordinator screens registration data for compliance to ensure optimal reimbursement for high-cost medications and assists with denials and failed claims to ensure maximum reimbursement.

What you will need:

  • Education: The level of knowledge normally obtained through the completion of four years of high school. Degree in healthcare preferred.
  • Certification: BLS/CPR Certification for the Healthcare Provider required
  • Experience: Minimum 1 year experience working with specialty pharmacies and insurance companies to obtain medications and prior authorizations. Minimum of 2 years previous healthcare or related experience and familiarity with payer requirements, regulatory compliance requirements, HIPAA privacy and security requirements, medical terminology and general revenue cycle procedures required. Prior pharmacy experience preferred.

Benefits:

  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, and Vision options
  • Tuition Reimbursement
  • Free Parking
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities
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