Specialty Pharmacy Financial Access Coordinator; Mount Sinai Specialty Pharmacy; Full Time; Days

Under direct supervision of the Director of Pharmacy and Clinical Coordinator, this Specialty Pharmacy Financial Access Coordinator (I) 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 Sinais 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.