Part-Time Medication Access Specialist – Ophthalmology

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 10/16/2026part-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ophthalmic terminology, clinical decision-making, and patient care management, with a strong focus on documentation and compliance with regulatory standards. Proficient in utilizing electronic medical records and effectively communicating within a remote team environment.

Highest-signal resume keywords

Certified Ophthalmic TechnicianBLS CertificationOphthalmic Terminology KnowledgeElectronic Medical Record DocumentationCritical Thinking Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medication-Access ReviewPrior Authorization ProcessingPatient Symptom AssessmentOphthalmic Medication KnowledgeTreatment ProtocolsDocumentation of Patient EncountersTriage AssessmentsRegulatory ComplianceHIPAA ComplianceProcess Improvement

Soft Skills

Excellent Verbal CommunicationExcellent Written CommunicationOrganizational SkillsTime-Management SkillsAbility to Work Independently

Tools & Technologies

EpicMyChartElectronic Prior-Authorization Tools

Certifications & Qualifications

Certified Ophthalmic Technician by JCAHPOBLS Certification

Industry Keywords

Ophthalmic ConditionsPatient EducationEmergency CarePatient PrivacyConfidentiality

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, retrieve and interpret determinations, respond to deficiencies, coordinate reconsiderations and appeals, track deadlines, and escalate 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 and clarify claim, brand/NDC, quantity, day supply, refill, and specialty-routing details
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 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 use available resources to resolve patient care issues
Knowledge of patient privacy, confidentiality, regulatory requirements, and HIPAA compliance
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
Candidate must reside in North Carolina or have plans to relocate to North Carolina
Must be available for a varying schedule of 19 hours per week

Benefits

Comp & perks

Equal Opportunity Employer committed to providing employment opportunity without discrimination
Reasonable accommodation information and provisions available
Remote work arrangement