Medication Access Specialist

Lumicera Health Services is seeking a Mediation Access Specialist to join our team!

Under the direction of Supervisor, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Mediation Access Specialist is primarily responsible for performing duties to assist patients with access to benefits, copay cards, patient assistance programs or foundations. The Medication Access Specialist will work directly with patients, providers, insurance companies and manufacturers to review all opportunities for financial assistance for specialty medications.

Is this you? Find out more below!

How do I make an impact on my team?

Serve as the liaison between the pharmacy, insurance providers and patient in order to provide accurate and effective communications regarding financial assistance options and resources. All efforts aim to offer high touch quality, patient care
• Obtain, review and document patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention and eligibility for prescription assistance
• Improve patient service experience through the provision of benefits investigations and conducting review of all opportunities for coverage of specialty medications
• Develop a thorough understanding of payer reimbursement and patterns for pharmacy claims with third parties
• Serve as a primary pharmacy resource to facilitate access to prescription medications
• Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other programs available
• Interact with external entities including but not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff
• Review complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information
• The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
• Other duties as assigned

What our team expects from you?

• Minimum High School Diploma or equivalent; Associate Degree in Health Science, Business or a related field preferred
• One (1) year of experience in a healthcare, business, finance, or insurance related field is preferred
• CPhT Preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees