Mount Sinai Health System · 1 day ago

Specialty Pharmacy Financial Access Coordinator, Lead; World Trade Center Benefits; Full Time; Days

United States

Full-time

Remote

Senior Level, Lead/Staff

$60K/yr - $84K/yr

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Responsibilities

Works closely with the WTCHP Clinical Pharmacy Manager, the WTCHP Pharmacy team, as well as other WTCHP team members to ensure patients achieve access to medications

Assists in the operational workflows including product overrides, prior authorizations, patient navigation, and scheduling as required for referred patients

Aids in quality assurance process on WTCHP pharmacy claims

Assists in answering pharmacy benefit questions.

Provides a high level of customer service by triaging medication access questions including medication rejections at point of sale

Escalates patient and provider concerns in a timely manner

Schedules appointments, monitors follow-ups and addresses no-shows

Ability to work collaboratively as a member of an interdisciplinary team, and establish and maintain effective working relationships with other healthcare professionals, practitioners, patients and families.

Makes recommendations on system improvements to streamline clinical review processes, participates in the implementation of such optimizations and takes a leading role in staff retraining, when applicable

Provides education on Program guidelines and coverage determination to interdisciplinary teams.

Other duties as assigned

Qualification

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Pharmacy Technician CertificationState Pharmacy TechnicianExcelOutlookElectronic Medical RecordPharmacy Benefit Management PortalsRetail Pharmacy ExperiencePharmacy Technician Experience