Medication Assistance (Access) Support
• Process benefits investigations, prior authorizations, pre-certifications, and copayment assistance request for prescriptions received by the UH Home Care Specialty Pharmacy.
• Maintain current knowledge of, requirements for and ability to enroll patients in: Pharmacy Assistance Program (PAP), manufacturer, state and local medication assistance programs; disease based assistance from non-profit organizations; Medicare prescription drug benefits; Social Security Low Income Subsidy; state and federal medication subsidy programs
• Maintain documentation of patient status for resource programs in required databases
• Evaluate all self-pay and underinsured patients for PAP/MAP eligibility and enroll patients based on financial need
• Work collaboratively with clinical based pharmacist to obtain clinical and financial information needed for program enrollment
• Utilize internally developed systems, commercial vendor software (to track patient eligibility, prescriptions, patient communications and program enrollment), outpatient clinical, scheduling and financial systems as necessary
• Interact with physicians, nurses, and other health care professionals in a courteous and professional manner
• Display the highest level of customer service, attentiveness, and consideration possible in all situations
• Support all new team initiatives
• Elevate issues promptly to supervisors to promote positive outcomes for internal and external customers
• Maintain organized workspace to help foster efficient operations
• Show attention to detail, accuracy, and thoroughness in an effort to continually improve quality
• Manage time wisely and demonstrate the ability to prioritize assigned tasks