Medication Access Specialist – Ophthalmology Appointment Tech Hub

Duke Careers

. Review medication access requests from Epic In Basket, electronic prior-authorization tools, patient calls, MyChart, refill/RxChange messages, fax, clinics, staff assistants, email, and real-time messaging .

Posted 10/8/2026full-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medication access processes, including prior authorization and formulary management, while ensuring compliance with HIPAA and regulatory standards. Proficient in ophthalmic terminology and clinical decision-making, with strong communication and organizational skills to support patient care in a remote environment.

Highest-signal resume keywords

Certified Ophthalmic TechnicianBLS CertificationOphthalmic Terminology KnowledgeCritical Thinking SkillsElectronic Medical Record Documentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medication Access ReviewPrior Authorization ProcessingClinical DocumentationPatient Symptom AssessmentOphthalmic Medication Knowledge

Soft Skills

Verbal CommunicationWritten CommunicationOrganizational SkillsTime ManagementTeam Collaboration

Tools & Technologies

EpicElectronic Prior-Authorization ToolsMyChart

Certifications & Qualifications

Certified Ophthalmic TechnicianBLS Certification

Industry Keywords

HIPAA CompliancePatient PrivacyOphthalmic EmergenciesClinical GuidelinesContinuous Process Improvement

About the role

Key responsibilities & impact

Review medication access requests from Epic In Basket, electronic prior-authorization tools, patient calls, MyChart, refill/RxChange messages, fax, clinics, staff assistants, email, and real-time messaging
Validate medication, prescriber, indication, pharmacy, benefit, urgency, and requested action
Differentiate prior authorization, formulary, step-therapy, quantity, tier, refill, claim-processing, specialty-pharmacy, documentation, and affordability barriers
Research plan-specific criteria and preferred submission routes
Prepare and submit requests, interpret determinations, respond to deficiencies, coordinate reconsiderations and appeals, track deadlines, and escalate clinical documentation needs
Review diagnoses, notes, medication history, prior trials, contraindications, allergies, treatment response, and discrepancies
Obtain prescriber clarification without independently making treatment decisions
Communicate status and next steps; clarify claim details, brand/NDC, quantity, day supply, refill timing, and specialty routing
Verify whether approval results in a payable and affordable prescription
Screen for manufacturer copay programs, patient assistance programs, direct-to-consumer options, Medicare Extra Help, specialty pathways, and cash alternatives
Maintain complete Epic documentation, process determination letters, update case status, close the loop with responsible parties, and support workload/outcome reporting

Requirements

What you’ll need

Completion of Ophthalmic Technician training
Certification as a certified Ophthalmic Technician by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO)
BLS Certification
Knowledge of ophthalmic terminology, eye diseases, ocular emergencies, ophthalmic medications, and treatment protocols
Ability to assess patient symptoms, recognize urgent and emergent ophthalmic conditions, and prioritize care using established clinical guidelines
Strong critical thinking and clinical decision-making skills
Excellent verbal and written communication skills
Ability to work effectively in a remote, team-based environment
Proficiency documenting patient encounters, triage assessments, recommendations, and communications in an electronic medical record
Ability to manage multiple priorities simultaneously
Ability to work independently, exercise sound judgment, and utilize available resources
Knowledge of patient privacy, confidentiality, HIPAA, and regulatory requirements
Strong organizational and time-management skills
Ability to provide patient education and reinforce provider instructions
Ability to participate in continuous process improvement and adapt to evolving workflows
Able to withstand long sitting

Benefits

Comp & perks

$5000 Commitment Bonus for qualifying candidates
Day shifts, Monday-Friday, with no weekends or holidays
Remote position