Pennsylvania Licensed Medication Access Coordinator

Job Summary

To support medication access initiatives, the full-time Pennsylvania Licensed Medication Access Coordinator will obtain prior authorizations for medications, conduct benefit investigations, and serve as a liaison between patients, insurance companies, and healthcare providers while working remotely.

Key responsibilities

• Complete prior authorization processes and document referrals for medications based on third-party payer criteria
• Maintain knowledge of patient assistance programs and eligibility requirements, ensuring accurate enrollment paperwork is completed
• Communicate with the care team regarding authorization status and assist in educating providers and patients on specialty services

Required qualifications

• High School Diploma or Equivalent (GED) is required
• Minimum of 6 years of relevant experience is required
• Knowledge of pharmacy reimbursement methodologies and medical terminology is essential
• Familiarity with patient medication assistance foundations and programs is preferred
• Experience in customer service within the healthcare industry is beneficial