Overview
Virginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Medication Access Coordinator to support our office in Newport News.
Please take this quick survey once you've submitted your resume to complete the application process : Pharmacy Tech Authorization Survey Responsibilities Verifies patient demographics, insurance information and prescription information Processes prescription and bills insurance for payment Troubleshoots Medicare Part B verification requirements Demonstrates the ability to work independently and in a timely manner.
Communicate efficiently with patients and providers to ensure access barriers are overcome. Obtain insurance prior authorizations for oral chemo drugs and retail pharmacy drugs Applies for financial assistance through cancer foundations, patient assistance programs and co-pay assistance for non-covered or high dollar oral drugs Communicate with medical staff to inform them of any restrictions or special requirements with insurance plans, and documentation or payer issues with non-covered chemotherapy drugs;
report any problems or payer trends Process insurance / patient correspondence, including denial follow-up, and maintain reimbursement correspondence and filing systems Act as patient advocate and function as liaison between the patient, payer, specialty pharmacy, and patient assistant programs Counsels patients on insurance benefits and copayments.
Refers appropriate patients to patient assistance programs Maintain a good working knowledge of chemotherapy authorization requirements for all payers, as well as state and federal regulatory guidelines for coverage and authorization Maintains beneficial relationships with specialty pharmacy contacts, drug reps and patient assistance programs Requires use of prior auth, specialty, and patient assistance portals Will be cross-trained to cover other retail / dispensary pharmacy technicians when needed Comply with patient confidentiality laws and regulations Qualifications High School diploma or equivalent.
Minimum three to seven (7) years of experience in a retail pharmacy setting. Certified Pharmacy Technician certificate or State Pharmacy Board required.
Minimum two (2) years medical insurance verification / authorization and billing / coding experience preferred.
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