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Medication Access Advocate , Infusion Precertification, Medication Access Services, First Shift, Pha Job in Cincinnati, Ohio US

Medication Access Advocate , Infusion Precertification, Medication Access Services, First Shift, Pha

UC HEALTH LLC - Cincinnati, OH

Posted: 4/21/2024 - Expires: 5/21/2024

Job ID: 272596734

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Job Description

Location: UC Health Business Center, Hybrid
Department: Pharmacy, Medication Access Services
Hours: 0800-1630
Shift: First

UC Health is hiring a Full-time, Medication Access Advocate in Pharmacy Administration at University of Cincinnati's Medical Center.

Verification of insurance coverage utilization different on-line modalities for clinic patients receiving medications and chemotherapy. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization. The associate will initiate or facilitate enrollment in philanthropic foundation or manufacturer-based assistance programs if patients do not have insurance coverage for medications and chemotherapy.

About University of Cincinnati Medical Center

As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati.

Unit Details:
  • Medical, Dental, and Vision Insurance
  • Employee Paid Short- and Long-Term Disability
  • 401K
  • Tuition Reimbursement Opportunities
  • Community Discounts
  • First shift Monday-Friday
  • No nights, no weekends, no holidays
EDUCATION :
  • Minimum Required: High School Diploma or GED


LICENSE & CERTIFICATION:

N/A

YEARS OF EXPERIENCE:
  • Minimum Required: 1 - 2 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment.
  • Preferred: 3 - 5 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment. Pharmacy/medication experienced preferred but not required.


REQUIRED SKILLS AND KNOWLEDGE :
  • This position requires and individual with both excellent communication and problem-solving skills. A strong medical terminology /background. The candidate must work closely with our physicians, nurse practitioners and other clinical associates to coordinate information needed for the insurance companies. The ability to perform superior customer service, particularly in a fast pace stressful and sensitive environment. Must be details oriented and be able to follow complex instructions.


About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighborsInsurance Verification:

Initiates online verification and/or makes phone contact with Insurance Carriers and Plan Administrators to verify patient benefits to precert all outpatient services are secure.. Ensures authorization has been obtained for all scheduled and non-scheduled high dollar outpatient therapies. Follows up on missing data or problem accounts.

Documentation:

Documents complete and accurate data relating to all necessary eligibility, benefits and precertification information in appropriate Epic database fields. Informs management of trends of incomplete data, registration issues, etc.

Worklists:

Effectively organizes prioritization of Daily Worklist task.

Secure Accounts:

Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.

Communication:

Reports improvements, problems and changes as it relates to insurance verification to department management.

Other duties as assigned:

Performs other duties as assigned.Insurance Verification:

Initiates online verification and/or makes phone contact with Insurance Carriers and Plan Administrators to verify patient benefits to precert all outpatient services are secure.. Ensures authorization has been obtained for all scheduled and non-scheduled high dollar outpatient therapies. Follows up on missing data or problem accounts.

Documentation:

Documents complete and accurate data relating to all necessary eligibility, benefits and precertification information in appropriate Epic database fields. Informs management of trends of incomplete data, registration issues, etc.

Worklists:

Effectively organizes prioritization of Daily Worklist task.

Secure Accounts:

Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.

Communication:

Reports improvements, problems and changes as it relates to insurance verification to department management.

Other duties as assigned:

Performs other duties as assigned.

Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

Job Summary

Employment Type:
Full Time Employee
Job type:
Federal Contractor
Skill Based Partner:
No
Education Level:
High school graduate
Work Days:
Sun, Mon, Tue, Wed, Thu, Fri, Sat
Job Reference Code
12992
Salary
N/A
Licenses / Certifications:
N/A
Display Recommended WorkKeys®Recommended WorkKeys®:
N/A