Medication Access Coordinator

Job Summary

Accountable for obtaining prior authorization for medications, the full-time Medication Access Coordinator will work from home to complete benefit investigations, liaise with insurance companies, and maintain knowledge of patient assistance programs to support patients in need.

Key responsibilities

• Complete prior authorization for medications and document referrals using third-party payer criteria
• Research and follow up on authorization statuses while maintaining up-to-date knowledge of criteria changes
• Identify and enroll patients in appropriate medication assistance programs and educate care teams on specialty services

Required qualifications

• High School Diploma or Equivalent (GED) required
• Minimum of 6 years of relevant experience required
• Knowledge of pharmacy reimbursement methodologies
• Familiarity with patient assistance programs and eligibility requirements
• Experience in the healthcare industry and medical terminology