Medication Access Coordinator I

Geisinger • Danville, PA • 1w ago

Job Summary

Accountable to obtain prior authorization for medications. Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, departments, and patients. Act as subject matter expert for patient medication assistance foundations, free drug and drug replacement programs for uninsured, under-insured, indigent population. Maintains updated knowledge of pharmacy reimbursement methodologies.

Job Duties

· Completes prior authorization and documents referrals for all medications reviewed using appropriate third-party payer criteria.

· Conducts research and follow-up activities within established timeframes. Maintains knowledge of criteria changes of third-party payor authorization requirements.

· Communicates with care team to provide details on authorization status.

· Maintains knowledge of all available patient assistance programs and eligibility requirements.

· Identifies available appropriate medication assistance programs upon discussing with patient the affordability of the prescribed treatment.

· Ensures accurate completion necessary signatures of appropriate paperwork for enrollment in assistance program(s).

· Tracks fund award end dates and exhaustion, re-apply as necessary to avoid lapse in therapies.

· Communicates with care team to provide details on status of assistance applications.

· Educate providers and patients on specialty services and how this improves overall patient care. Grow the specialty pharmacy's patient population.

· Floats from areas of low workload to areas of heavy workload as needed to provide optional patient services.

· Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

*Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years).

Position Details

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 2 years-Related work experience (Required)

Certification(s) and License(s)

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

Similar Jobs

Clinical Dietitian - Danville State Hospital

Commonwealth of Pennsylvania • Danville, PA • 27min ago

Hospital & Medical

Job posting closes 4/6/26 11:59 pm Eastern Reference #: 5277948 Salary $51,971.00 - $79,062.00 Annually Location Montour County, PA Job Type Civil Service Permanent Full-Time Job Number CS-2026-45644-81430 Department Dep...

27min ago

Go to Apply

Drug and Alcohol Treatment Specialist 1 - SCI Mahanoy

Commonwealth of Pennsylvania • Frackville, PA • 4h ago

Hospital & Medical

Reference #: 5274728 Salary $55,436.00 - $84,332.00 Annually Location Schuylkill County, PA Job Type Civil Service Permanent Full-Time Job Number CS-2026-45614-38420 Department Department of Corrections Division CR MAH T...

4h ago

Go to Apply

CDL Truck Driver

Roehl Transport • Ashland, PA • 14h ago

Trucking & Construction

Dedicated Northeast Fleet Truck Driving Job! Join this fleet and you'll haul van loads for an established customer that's been with Roehl for a long time, and we're expanding our services. You'll get home weekly in this...

14h ago

Go to Apply

Intern Undergraduate - Pennsylvania resident

Geisinger • Danville, PA • 1d ago

Job Summary Our successful candidate will experience finance partnering and data analytics for Geisinger Enterprise Pharmacy to include financial modeling for business plan proformas and drug margin impacts from changes...

1d ago

Go to Apply

Farm Worker

FLC • Berwick, PA • 1d ago

Reference the below state and job order # when inquiring about this position. Originating state and job order # Pennsylvania - 22256914 REQUIREMENTS: Must be at least 18 years of age. Must be available the entire work pe...

1d ago

Go to Apply

Network Install Technician

Amazon • Berwick, PA • 1d ago

IT & Engineering

Description Transform network infrastructure by joining our dynamic team! You'll be at the forefront of developing innovative solutions that drive network stability and scalability, using your technical expertise to crea...

1d ago

Go to Apply

Clinical Coordinator Laboratory Medicine - Part time

Geisinger • Danville, PA • 1d ago

Hospital & Medical

Job Summary The Clinical Coordinator is a key member of Geisinger Medical Laboratory Education programs. The Clinical Coordinator is responsible for managing and enhancing the clinical education experience for students....

1d ago

Go to Apply

Administrative Assistant Senior - Radiology

Geisinger • Danville, PA • 1d ago

Hospital & Medical

Job Summary Responsible for providing advanced administrative support to the department. Ensures advanced administrative activities to provide efficiency and organization to the department. Reporting structure: Associate...

1d ago

Go to Apply

Administrative Assistant - Hematology Oncology

Geisinger • Danville, PA • 1d ago

Management & Administrative

Job Summary Supports department director through a variety of tasks related to organization and communication. Responsible for maintaining knowledge of a variety of the field's concepts, practices and procedures. May dir...

1d ago

Go to Apply

Administrative Assistant - Pulmonary Rehab Evangelical - PART TIME Days

WellSpan Health • Lewisburg, PA • 2d ago

Management & Administrative

Part time (20 hours weekly) 8:30a-4:30p General Summary Performs diversified and confidential administrative duties. Requires an intermediate degree of technical and communications/interpersonal skills, knowledge, and ab...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.