Company

Lumicera

About Us

Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity.

Pay Range

USD $20.44 - USD $24.33 /Hr.

Work Schedule Description (e.g. M-F 8 am to 5 pm)

9:30 am-6 pm, CST

Remote Work Notification

ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Lumicera Health Solutions is seeking a Medication Access Specialist to join our team!

Under the direction of Supervisor, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Mediation Access Specialist is primarily responsible for performing duties to assist patients with access to benefits, copay cards, patient assistance programs or foundations. The Medication Access Specialist will work directly with patients, providers, insurance companies and manufacturers to review all opportunities for financial assistance for specialty medications.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

Serve as the liaison between the pharmacy, insurance providers and patient in order to provide accurate and effective communications regarding financial assistance options and resources. All efforts aim to offer high touch quality, patient care
Obtain, review and document 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 review of all opportunities for coverage of specialty medications
Develop a thorough understanding of payer reimbursement and patterns for pharmacy claims with third parties
Serve as a primary pharmacy resource to facilitate access to prescription medications
Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other programs available
Interact with external entities including but 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
The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
Other duties as assigned

Qualifications

What our team expects from you?

Minimum High School Diploma or equivalent; education in Health Science, Business or a related field preferred
One (1) year of experience in a healthcare, business, finance, or insurance related field is preferred
CPhT Preferred
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Top of the industry benefits for Health, Dental, and Vision insurance

• 20 days paid time off

• 4 weeks paid parental leave

• 9 paid holidays

• 401K company match of up to 5% - No vesting requirement

• Adoption Assistance Program

• Flexible Spending Account

#LI-Remote

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Location: Address

Remote

Navitus jobs

Medication Access Specialist - $20.44 - $24.33/hr