Medication Access Specialist

Overview

#Be Here

Location: US:

WI:

NEENAH at our THEDACARE CORPORATE facility.

This job is HYBRID.

$5,000 sign on bonus!

FTE: 1.000000

Standard

Hours:

40.00

Shift: 1

Schedule: 8 AM - 4:30 PM hybrid position. Training will be onsite at the ISC in Menomonee Falls for the first few months and then hybrid with periodic onsite responsibilities at Theda Care specialty clinics in Neenah.

This role supports North Region Theda Care specialty clinics patients and providers by completing prior authorizations, coordinating insurance benefits, and assisting with financial assistance programs for specialty medications.

• Initiate and manage prior authorizations for specialty medications for North Region Theda Care specialty clinics
• Verify pharmacy and medical insurance benefits
• Assist patients with manufacturer and foundation assistance programs
• Communicate with clinics, payers, pharmacies, and patients to resolve access barriers

• Experience – 3 years of experience in pharmacy, healthcare, managed care, or other health insurance environment is required. Knowledge of health insurance and pharmacy insurance benefit verification, health insurance terminology, billing, managed care contracting, hospital reimbursement, and hospital admitting and registrations practices required.
• Education – High school diploma or equivalent is required. 4 year degree preferred. Graduate of ASHP accredited pharmacy tech training program preferred.
• Special skills – Proven attention to detail. Experience with third party insurance and medication/co-pay assistance programs. Effective interpersonal skills, including the ability to develop collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction. Outstanding organizational and follow-up skills. Experience with various computer systems and programs (such as EPIC, insurance portals, McKesson Enterprise, etc.). Quick learner.
  
  Ability to work independently and take programmatic initiative. Ability to function in a fast paced and changing environment and balance multiple priorities. Experience with navigating an Electronic Health Record.
• Licensure – Certification through Pharmacy Technician Certification Board or National Healthcare Association (ExCPT) required within the first 6 months of hire.

Froedtert Health offers a variety of perks & benefits to staff. Depending on your role you may be eligible for the following:

• Paid time off
• Growth opportunity – Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at . We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at .

We will attempt to fulfill all reasonable accommodation requests.