Ambulatory Medication Access and Referral Coordinator- Specialty Pharmacy
$41,600–$60,258 year
On-siteOlympia Fields, Illinois, United States
Job Summary
Review and process patient referrals for ambulatory pharmacy services, including scheduling, insurance evaluation, and prior authorization management. Collaborate with providers and pharmacies to clarify information, conduct patient interviews, and manage outreach for medication access. Maintain accurate EMR records of all activities and outcomes while ensuring compliance with 340B program requirements and financial assistance programs. Independently prioritize workflows to reduce financial barriers and support continuity of care for uninsured or underinsured patients. This role supports the Ambulatory Services Team at Prime Healthcare Olympia Fields Hospital, serving as a key operational resource for clinical leadership and prior authorization coordinators.
Required Qualifications
- High school diploma or equivalent
- Current State of IL pharmacy technician license in good standing
- Certified Pharmacy Technician (CPhT) credential
- Minimum 3 years of experience in ambulatory care, specialty pharmacy, or 340B settings
- Proficiency in electronic medical record (EMR) systems and insurance authorization platforms
- Knowledge of HIPAA regulations and patient confidentiality standards
Desired Qualifications
- Working knowledge of pharmaceutical foundation assistance programs and manufacturer co-pay card enrollment processes
- Experience qualifying and processing patients under 340B drug pricing program guidelines
- Strong understanding of commercial, Medicare, and Medicaid insurance plans and formulary requirements
- Experience coordinating patient outreach and scheduling in a high-volume clinical setting
- Excellent communication skills with the ability to collaborate effectively with providers, pharmacies, payers, patients, and external offices
- Strong organizational skills with the ability to manage multiple cases and meet deadlines in a fast-paced environment
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