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Job description
Pharmacy Access Representative III (PAR)As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.Job Location: 155 Bellwood Dr, Rochester, New York, United States of America, 14606Opening: RegularTime Type: Full timeScheduled Weekly Hours: 40Department: Pharmacy SMHWork Shift: UR - Day (United States of America)Range: UR URCB 206 HCompensation Range: $21.97 - $29.66The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.Responsibilities:The Pharmacy Access Representative III (PAR) is responsible for the overall management of medical equipment and supplies, coverage determination, and removal of barriers that prevent patients from receiving their equipment. Duties will include insurance coverage verification and determination, patient cost estimation, assembly of documentation necessary to ensure payment for equipment in compliance with payer standards. The PAR will communicate with the prescriber's office to acquire necessary information to submit claims to the patient's insurance for approval including prior authorization and helping educate patients with financial need and arrange timely delivery of the equipment. The PAR will link communication between the patient, referral source, insurance, and staff to ensure coordinated care. The PAR will be assigned to a general service area such as hospital discharges and respiratory care Daily tasks are completed independently and prioritized based on the patient and pharmacist needs. Duties of this position require proper judgement, sensitivity, and strict adherence to Strong Memorial Hospital policy on confidentiality and the protection of Private Health Information. The PAR interacts with multiple individuals within the institution including, but not limited to, hospital and clinical employees at various levels including pharmacists, pharmacy technicians, and medical/clinical staff. External interactions include third party payors, governmental peer review organizations, and referring physicians. To be successful, this individual must have excellent phone etiquette and be open to feedback to create strong collaborative work relationships.Essential Functions:Home Medical Equipment CoordinationFinancial ManagementCompliance and QualityPrior Authorization ManagementMinimum Education & Experience:At least 18 years of age at the time of application.Associate's degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required.Or equivalent combination of education and experience.Knowledge, Skills & Abilities:Capable of working independently with minimum supervision required.Strong communication skills, problem-solving abilities, and professional presentation required.Demonstrated customer relations skills required.Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required.Licenses and Certifications:Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred.Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred.The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Worksite address
rochester, NY, 14606, US
Who can apply
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