Speciality Pharmacy Financial Access Coordinator

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.


Roles & Responsibilities:

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.

Duties and Responsibilities:
1. Receives prescriptions, with appropriate follow up on rejected claims.
2. Completes third party prior authorization requests and verifies prescriptions.
3. Provides a high level of customer service by the completion of applications, including those for the Patient Assistance Program (PAP) and co-pay assistance.
4. 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




Strength Through Diversity


The Mount Sinai Health System believes that diversity and inclusion 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 healthcare delivery together.


We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care. 


Explore more about this opportunity and how you can help us write a new chapter in our story! 


Who We Are


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 hospitals, including Mount Sinai Beth Israel, Mount Sinai 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. 


EOE Minorities/Women/Disabled/Veterans



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