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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medication access processes, including prior authorization and reimbursement, while effectively communicating with healthcare providers and patients. Proficient in utilizing tools like CoverMyMeds® and EMR systems to enhance operational efficiency and patient support.
Highest-signal resume keywords
Medication Access ExpertisePrior Authorization ProficiencyCoverMyMeds® ExperienceCPhT CertificationHealthcare Revenue Cycle Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medication ReimbursementPrior AuthorizationHealthcare CodingPharmacy Benefit Manager (PBM) AdjudicationDocumentation Accuracy
Soft Skills
Strong JudgmentDecision-Making AbilitiesInterpersonal SkillsTeam CollaborationAnalytical Problem-Solving
Tools & Technologies
EMR SystemsVisante Tracking ToolsOffice Suite (Word, Excel, PowerPoint)
Certifications & Qualifications
CPhT CertificationState Board of Pharmacy Technician Registration
Industry Keywords
Medication Intake ProcessPatient Assistance ProgramsInsurance DenialsFinancial AssistanceHealthcare Providers
About the role
Key responsibilities & impact- Lead the medication intake process and serve as a liaison among clinic providers, clinic staff, pharmacies, and patients
- Conduct benefits investigations to determine patient coverage, out-of-pocket costs, and available financial assistance
- Identify and recommend patient assistance programs, copay cards, grants, or funds
- Gather and review documentation for prior authorization submissions and escalate coverage-denial appeals
- Coordinate next steps for insurance denials with clinic staff
- Communicate with clinics to obtain information and guidance for prior authorization submissions
- Conduct patient outreach regarding medication coverage and financial assistance options, including pharmacy recommendations
- Communicate coverage determinations and coordinate patient follow-up on behalf of client clinics
- Document accurately and promptly in client EMR systems and Visante tracking tools
- Assist with onboarding and training client-employed medication access specialists
- Contribute to process improvements
- Collaborate with Visante team members and leadership, providing operational insight and constructive feedback
- Complete other duties as assigned
Requirements
What you’ll need- High school diploma or equivalent
- Minimum of three years of pharmacy experience in healthcare or with pharmacy providers focused on medication access
- Two years of healthcare revenue cycle experience, including medication authorizations and preadmission/precertification processes (preferred)
- Expertise in retail pharmacy PBM adjudication, ensuring accurate claim processing and reimbursement
- Proficiency in CoverMyMeds® for prior authorization submissions
- State Board of Pharmacy Technician registration obtained within 2 months of start date, if applicable based on state requirements
- Active CPhT certification through either PTCB or NHA (preferred)
- Strong judgment and decision-making abilities
- Ability to manage competing demands, prioritize tasks, and meet deadlines with urgency
- Excellent interpersonal, team collaboration, verbal, and written communication skills
- Expertise in medication reimbursement, prior authorization, and healthcare coding
- Analytical and creative problem-solving abilities
- Ability to maintain confidentiality and accuracy
- Proficiency in Office Suite, including Word, Excel, and PowerPoint
Benefits
Comp & perks- Competitive salary and benefits
- Full-time salaried, non-exempt role
- Fully remote, work from home