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Pharmacy Access Representative III - Specialty Pharmacy

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University of Rochester

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Location:
United States of America , Rochester

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Category:
Pharmacy

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Contract Type:
Not provided

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Salary:

21.71 - 29.31 USD / Hour
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Job Description:

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 Responsibility:

  • Manages medication coordination and removal of barriers that prevent patients from receiving their medications
  • Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization
  • Helps enroll patients in financial assistance programs and arrange timely delivery of the medication
  • Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
  • Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
  • Analyzes patients that are receiving high-cost medications for potential participation in PAPs
  • Coordinates with the patient and/or family to obtain necessary information
  • Enrolls patients in PAPs
  • Submits all required documentation to the PAP throughout the duration of treatment
  • Understands and manages the payment process specific to each PAP
  • Serves as a subject matter expert available to patients, providers, and other staff about financial assistance resources
  • Collaborates with social services and case management on patient assistance
  • Coordinates medication and supplies preparation with pharmacy staff to ensure timely delivery
  • Troubleshoots insurance issues with pharmacists, physicians, and staff to prevent treatment interruptions
  • Follows up with patients to ensure safe and effective medication use
  • Documents problems with the medication
  • Coordinates medication ordering with inventory manager for special orders or low-volume medications
  • Tracks changes in prescribing trends
  • Makes scheduled calls to patients to bill prescriptions and set up deliveries
  • Facilitates adherence to medications by ensuring that patients receive prescribed medications in a timely manner
  • Provides excellent customer service through the Pharmacy Call Center
  • Triages patient calls to the appropriate party
  • Answers incoming calls in a timely manner
  • Monitors and reconciles patient charge accounts once a month
  • Remains professional, courteous, and diligent in all interactions with staff and patients/families
  • Reports errors through the hospital error reporting system (RL solutions) and contributes to quality improvement initiatives
  • Assists with prescription audits and ensures timely completion of required patient documentation
  • Assists with the training of new team members in the designated clinical area
  • Maintains expertise in the current policies of the most common payors for the relevant administered drugs that require prior authorization (PA)
  • Initiates, documents, and tracks all prior authorization on behalf of the areas to improve patient experience, ensure compliance, and prevent interruptions or delays in treatment

Requirements:

  • Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required
  • 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
  • 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

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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