It's more than a career, it's a callingWI-SSM Health West BeltlineWorker Type:RegularJob Highlights:Location : 1808 W. Beltline Hwy - Madison, WIPay :
Hourly
$2,000 sign on bonus for eligible hires
Schedule :
Full-Time: 40 hours/week (1.0 FTE)
Monday - Friday, Day Shift (8am - 4:30pm)
Hybrid work from home/in-office rotation after 90 days
Our CultureAt SSM Health, we bring together and cultivate exceptional people. We are dedicated to providing our employees with the tools, recognition, opportunities, and collaborative partnership needed to thrive in a patient-centered health care environment.SSM Health is committed to creating a partnership with employees because when our employees thrive, so does our healing mission. We ask our employees to actively engage and participate in decisions that impact their work. We celebrate together and recognize those people who help us deliver an exceptional experience.Our BenefitsIn addition to competitive compensation, SSM Health offers a wide variety of benefits and programs:
Comprehensive suite of health, dental, vision, life, disability insurance, 401k, HSA/FSA, and generous PTO
Daily Pay for qualifying positions
A culture that supports professional development including tuition reimbursement and discounts, participations in the Federal Loan Forgiveness Program, professional development days, opportunities for career advancement and much more
Employee Relief Fund to help with life’s unexpected financial emergencies
Commitment to employee wellness through our EAP, well-being checks with leaders, flexible work schedule where feasible, and online wellness opportunities. Select locations also offer free on-site fitness center access, meditation rooms, and serenity gardens
Established employee recognition program
Commitment to caring through philanthropy, volunteer opportunities, and PTO donation program
Job Summary:Increase patient access and adherence to medically necessary pharmaceuticals by managing patient’s insurance benefits and utilizing established patient assistance programs. Provides value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment (patient assistance and indigent programs).Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIES
Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care.
Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention and eligibility for prescription assistance.
Improves patient service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties.
Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs.
Coordinates services with appropriate departments and internal patient care team members regarding patients who have limited financial resources for paying for medications and facilitates medication access to support discharge preparations.
Interacts with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff.
Reviews complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information.
Performs other duties as assigned.
EDUCATION
Bachelor's degree or equivalent years of experience and education
EXPERIENCE
No experience required
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois
Pharmacy Technician, Registered - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
Pharmacy Technician - Missouri Division of Professional Registration
Or
MO Registration Application and Fingerprint Process Complete AT TIME OF HIRE - Missouri Division of Professional Registration
And
FUTURE - Pharmacy Technician, Registered within 6 months - Missouri Division of Professional Registration
State of Work Location: Oklahoma, Wisconsin
N/A
Work Shift:Day Shift (United States of America)Job Type:EmployeeDepartment:7721840164 WRO Pharmacy AccessScheduled Weekly Hours:40SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?ga=2.205881493.704955970.1667719643-240470506.1667719643)