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Medication Access Specialist Prior Authorization Days

Company: UCHealth
Location: Aurora
Posted on: November 21, 2020

Job Description:

Facility: UCHealth Peoria Office (Aurora, CO) Department: Pharmacy MARC PAR - Full-time - Days - High School Diploma or GED is required At UCHealth, we do things differently We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it's a passion. Summary: Responsible for providing access to medications for patients by completing prior authorization requests (PAR), Co-pay assistance programs, medication assistance programs, benefits investigation, processing refill renewal requests, assisting patients with health insurance enrollment, managing PAR and prescription renewal dates. Job duties:

  • Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines. Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, ASO criteria, doctor visits).
  • Compile clinical information for pharmacist and nurses to utilize as refill renewal requests are processed via protocol.
  • Directly enroll eligible patients into manufacturer patient assistance and co-pay programs. Provide information to patients on healthcare insurance coverage opportunities available through the Health Care Exchanges.
  • Accurately obtain and record patients' home medication lists, allergies, immunizations and medical diagnoses. Requirements:
    • High school diploma or GED.
    • PHATP (Pharmacy Technician Provisional) certification from the State Board of Pharmacy is required
    • PHAT (Pharmacy Technician) certification from the State Board of Pharmacy is required within 18 months of start date
    • 2 years of pharmacy technician experience or equivalent experience performing prior authorizations or refill renewals. Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we'll do everything in our power to make sure you grow and have a meaningful career. There's no limits to your potential here. Be Extraordinary. Join Us Today! UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Keywords: UCHealth, Aurora , Medication Access Specialist Prior Authorization Days, Other , Aurora, Colorado

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