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Title: Specialty Pharmacy Financial Access Coordinator- Req # 2433722
Under direct supervision of the
Director of Pharmacy and Clinical Coordinator, this Specialty Pharmacy
Financial Access Coordinator interacts with hospital employees on multiple
levels, including pharmacists, medical/clinical staff, fiscal personnel,
department managers, access services staff, coding staff and billing
assistants. External contacts include third party payers, prescription benefit
management companies, governmental peer review organizations, and referring
physicians. This individual is primarily responsible for receiving
prescriptions, addressing and rectifying rejected claims, conducting and
completing necessary third party (insurance) prior authorization requests (when
applicable), and verifies prescriptions to other non-institution entities in
instances where the prescription is not filled by Mount Sinai’s Outpatient
Pharmacy, including routing to MSHS entities. S/he is primarily responsible for
providing assistance to a subset of patients by completing Patient Assistance
Program (PAP) applications and co-pay assistance funds applications. Through
PAP, pharmaceutical companies provide medications to patients with limited
income and resources.
- Receives prescriptions, with appropriate follow up on rejected claims.
- Completes third party prior authorization requests and verifies prescriptions.
- Provides a high level of customer service by the completion of applications, including those for the Patient Assistance Program (PAP) and co-pay assistance.
- Other duties as assigned
- HS/GED; Associates degree preferred
- 1 year of retail pharmacy technician experience preferred
- 3 years of health care related billing and/or retail pharmacy experience preferred
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.