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Medication Access Coordinator - Full-time

Key Facts

Remote From: 
Full time
Expert & Leadership (>10 years)
English

Other Skills

  • Multitasking
  • Team Management
  • Verbal Communication Skills
  • Problem Solving

Roles & Responsibilities

  • Minimum of three years healthcare and/or insurance/third party reimbursement experience
  • High school education or equivalent
  • Must register with the State of Nebraska as a pharmacy technician
  • Must complete Pharmacy Technician Certification within one year

Requirements:

  • Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, focusing on third-party prior authorization and billing processes
  • Assist patients with enrollment into grants and assistance programs and communicate any financial responsibilities
  • Provide face-to-face or virtual bedside oriented service delivering comprehensive financial options to patients
  • Gather and communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third parties; verify eligibility, pharmacy benefit provisions and support the appeals process

Job description

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.

Shift:

First Shift (United States of America)

Medication Access Coordinator - Full-time

Position Highlights:

Nebraska Medicine is now taking applications for a talented individual to join us as a Medication Access Coordinator in our Retail Pharmacy department.

While this is a remote position, employees must be located in either Nebraska or Iowa.

The Medication Access Coordinator role is designed for an experienced Registered Pharmacy Technician with retail pharmacy insurance experience or a Medicaid/Medicare/Private Pay Insurance professional with at a minimum one year of pharmacy Technician experience.  Experience in medical billing areas, home infusion, and outpatient infusion focused services is highly preferred. This is an ideal role for someone with a passion for pharmacy but also one with problem solving skill to advocate solutions for our Nebraska Medicine patients.  One must be skilled not only in pharmacy medications / processes but also tech saavy to navigate between multiple computer screens and applications. This is a desk position but a high paced environment where documentation and follow-up skills are imperative.

(also known as:  Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician)

Shift: 

  • Full Time - 1.0 FTE (80 hours in a pay period)
  • Working 8-hour days, Monday – Friday with start times between 7:00 AM to 11:00 AM
  • Must reside in either Nebraska or Iowa

If you have questions about applying for this Medication Access Coordinator role you can contact the recruiter, Breanna Hutchinson, at brhutchinson@nebraskamed.com

Why Work at Nebraska Medicine?

  • Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
  • Leading Health Network: Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
  • Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve.
  • Educational Support: Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.

Be part of something extraordinary at Nebraska Medicine!

Duties: Medication Access Coordinator

Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist  patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process.

Required Qualifications:

  • Minimum of three years healthcare and/or insurance/third party reimbursement experience required.

  • High school education or equivalent required.

  • Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.

  • Ability to solve problems independently and must be strongly vested in team management required.

  • Ability to multi-task and excel in a dynamic environment required.

  • Experience with various computer mainframe, network, web based and payer applications required.

  • Must register with the State of NE as a pharmacy technician required.

  • Must complete Pharmacy Technician Certification within one year required.


Preferred Qualifications:

  • Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.

  • Associate's degree in business, healthcare or related field preferred.

  • Bi-lingual preferred.

  • Prior Authorization experience in specialty or retail pharmacy preferred.

  • 340B knowledge and experience preferred.

  • Apexus 340B OnDemand Certificate preferred.

Nebraska Medicine is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

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