Patient Access & Insurance Support
✅ Communicate directly with insurance companies to facilitate medication approvals.
✅ Assist patients with managing their pharmacy insurance claims.
✅ Work with clinician offices to support prior authorization requests and medication access.
✅ Research and secure financial assistance opportunities through foundations, manufacturers, and other funding sources to help patients overcome high-cost copay barriers.
Pharmacy Operations & Patient Care
✅ Navigate pharmacy operating systems to input data, adjudicate test claims, process refills, and develop action plans for follow-up.
✅ Review prescriptions with physicians’ offices to support optimal patient care.
✅ Communicate directly with patients via phone to support medication adherence and compliance.
✅ Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience.
Documentation & Process Improvement
✅ Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs.
✅ Maintain complete and accurate records of patient communications.
✅ Manage, organize, and update relevant data within database systems.
✅ Research and analyze information to support strategic decision-making.
✅ Apply observations and recommendations to improve operations, productivity, quality, and customer service standards.
✅ Identify trends, resolve issues, recommend improvements, and implement changes.
✅ Participate actively in process improvement initiatives.
✅ Act as a value-added business partner to stakeholders across the organization.
✅ Protect organizational value by maintaining confidentiality of information.
✅ Maintain professional knowledge through educational opportunities, professional publications, and industry networking.
✅ Minimal in-state or out-of-state travel may be required.
✅ Perform other duties as assigned.