Medication Access Specialist

Description

ABOUT VISANTE

We are reputed company in solving the most reputed company challenges in health system pharmacy—designing pharmacy footprints that meet our clients where they are today and position them to win reputed company. Our work delivers measurable financial gains, operational excellence, and an elevated patient experience.

We set ambitious goals, move with urgency, and create extraordinary value. Obsessed with client impact, we reputed company in a collaborative, innovative culture where deep expertise turns insight into action. We’re proud of the results we deliver and the trust we earn—fueling sustained growth and exceptional client satisfaction.

Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives.

ABOUT THE POSITION (Remote)

The Medication Access Specialist plays a vital role in Visante’s managed services team, working under the leadership team to streamline insurance processes, enhance medication access, and reduce financial burdens for patients. Acting as a liaison among pharmacies, clinic staff, and insurance providers, the specialist optimizes treatment initiation and improves patient satisfaction by handling medication authorizations, conducting benefits investigations, and identifying assistance programs. They gather prior authorization details, support coverage denial appeals, and communicate medication options and financial resources to patients while monitoring insurance status and reporting access issues to the treatment team. Emphasizing collaboration and efficiency, this position contributes to Visante’s mission of ensuring patients receive the medications they need.

Principal Duties and Responsibilities

• Review and process medication authorizations submitted by the client.
• Conduct benefits investigations to determine patient coverage, out-of-pocket costs, and available financial assistance.
• Identify and recommend patient assistance programs, copay cards, grants, or funds to reduce financial burdens.
• Gather and review necessary documentation for prior authorization submissions, assisting clinics with appeals for coverage denials.
• Communicate directly with clinics to obtain additional details and guidance on authorization processes.
• Inform patients about medication coverage and financial assistance options, providing pharmacy recommendations.
• Ensure accurate documentation in client EMR systems and Visante tracking tools for workflow efficiency.
• Assist with onboarding and training of client-employed medication access specialists and contribute to process improvements.
• Collaborate with Visante team members and leadership to enhance operational effectiveness and implement recommended improvements.
• Support efforts to refine clinical and pharmacy workflows, strengthening communication between staff and patients.

Requirements

Education

Required: High school diploma or equivalent

Experience

Required: 3 years of experience working reputed company healthcare or with pharmacy providers on medication access

Preferred: Previous consulting and/or client-facing experience; Experience with electronic medical record documentation and prior authorization workflows; Experience with performing retail pharmacy PBM adjudication; Experience in utilizing reputed company® to submit prior authorizations; Two (2) years of experience in healthcare reputed company cycle that includes medication authorizations; Knowledge of CPT and ICD coding is highly desired; Knowledge of Medicare and third-party payer regulations and guidelines is highly desired; Two (2) years of experience in preadmission/precertification

Licensure

Required: State Board of Pharmacy Technician registration obtained reputed company 6 months of hire

Preferred: Active CPhT certification through either PTCB or NHA

Skills and Abilities

• Demonstrate strong judgment and decision-making, effectively managing competing demands while prioritizing tasks and meeting deadlines with urgency.
• Cultivates strong client relationships, exhibiting excellent interpersonal and team collaboration skills while communicating professionally and concisely in both verbal and written forms.
• Possesses extensive expertise in medication reimbursement, prior authorization, and healthcare coding, utilizing analytical and creative problem-solving abilities to diagnose and resolve issues.
• Maintains confidentiality and ensures accuracy, leveraging proficiency in Office Suite (Word, reputed company, PowerPoint) to analyze and disseminate critical information effectively.

Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried role.

Equal Opportunity Statement: Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national reputed company, disability, veteran status, or any other characteristic protected by applicable laws and regulations