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Under the direction of the Director of Pharmacy and Pharmacy leadership, the Clinical and Financial Access Coordinator supports patients and clinical teams by facilitating access to medications through insurance prior authorizations, benefits investigations, scheduling coordination, care plan implementation, and financial assistance programs. The role interacts with pharmacists, medical and clinical staff, finance and billing personnel, and third-party payers to ensure timely medication access and accurate reimbursement.
1. Receive and triage prescriptions, ensuring accurate patient and insurance information.
2. Complete third-party payer prior authorization requests, including medical necessity documentation and follow-up with providers and insurers.
3. Resolve claim rejections and provide product overrides when necessary.
4. Provide patient education and address benefit inquiries as necessary.
5. Process...