Spherion is recruiting for a Pharmacy Access Specialist to join the team of one of the largest healthcare providers in southern Wisconsin! This position will be responsible for Increasing patient access and adherence to medically necessary pharmaceuticals by managing patients insurance benefits and utilizing established patient assistance programs. The Pharmacy Access Specialist will provide value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment.This is a Direct Hire position! Benefits will be discussed during the interview process.Responsibilities:- Serve as the liaison between medical staff, outpatient pharmacies, insurance providers, and patients to improve communication and continuity of care- Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention, and eligibility for prescription assistance- Improve patient service experience through the provision of benefits investigations and conducting prior authorization services- Develop a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties- Serve as the primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications, including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs- Coordinate services with appropriate departments and internal patient care team members regarding patients who have limited financial resources to pay for medications and facilitate medication access to support discharge preparations- Interact with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third-party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff- Review complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information- Work safely and in a constant state of alertness- Perform other duties as assignedWorking hours: 8:00 AM - 4:30 PMSkills:- Excellent attention to detail and critical thinking skills- Strong, professional written and oral communication skills- Desire to improve the patient experience and provide excellent customer serviceEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree preferred. Equivalent years of pharmacy experience and education considered in lieu of a Bachelors degree- Willingness to learn new skills and concepts in order to perform duties in the most efficient and effective manner Apply via the apply button in the top right hand corner today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion is recruiting for a Pharmacy Access Specialist to join the team of one of the largest healthcare providers in southern Wisconsin! This position will be responsible for Increasing patient access and adherence to medically necessary pharmaceuticals by managing patients insurance benefits and utilizing established patient assistance programs. The Pharmacy Access Specialist will provide value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment.This is a Direct Hire position! Benefits will be discussed during the interview process.Responsibilities:- Serve as the liaison between medical staff, outpatient pharmacies, insurance providers, and patients to improve communication and continuity of care- Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention, and eligibility for prescription assistance- Improve patient service experience through the provision of benefits investigations and conducting prior authorization services- Develop a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties- Serve as the primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications, including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs- Coordinate services with appropriate departments and internal patient care team members regarding patients who have limited financial resources to pay for medications and facilitate medication access to support discharge preparations- Interact with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third-party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff- Review complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information- Work safely and in a constant state of alertness- Perform other duties as assignedWorking hours: 8:00 AM - 4:30 PMSkills:- Excellent attention to detail and critical thinking skills- Strong, professional written and oral communication skills- Desire to improve the patient experience and provide excellent customer serviceEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree preferred. Equivalent years of pharmacy experience and education considered in lieu of a Bachelors degree- Willingness to learn new skills and concepts in order to perform duties in the most efficient and effective manner Apply via the apply button in the top right hand corner today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.